SOUTHERN CALIFORNIA PHYSICIAN NETWORK, INC
NPI 1083002075
Internal Medicine in Corona, CA
About Southern California Physician Network, Inc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
SOUTHERN CALIFORNIA PHYSICIAN NETWORK, INC (NPI 1083002075) is a healthcare organization registered as an internal medicine in Corona, California and active in the NPI registry since December 2014. The organization lists Michael Nduati, President, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Southern California Physician Network, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
7Medicare enrollment records show 7 clinicians reassign Medicare billing to Southern California Physician Network, Inc, which bills Medicare for the services they deliver. Of these, 5 practice at this address. They are listed nearest first.
Clinicians, nearest first (7)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Southern California Physician Network, Inc's NPI number?
The NPI number for Southern California Physician Network, Inc is 1083002075. It was assigned to this organization in the NPPES registry on December 30, 2014.
Where is Southern California Physician Network, Inc located?
Southern California Physician Network, Inc is located at 2250 S Main St Ste 201, Corona, CA 92882. The listed phone number is (951) 621-3232.
What is Southern California Physician Network, Inc's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Southern California Physician Network, Inc enrolled in Medicare?
Yes. Southern California Physician Network, Inc is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Southern California Physician Network, Inc?
According to the CMS Revalidation Reassignment List (October 2026 release), 7 clinicians in 4 Medicare specialties reassign their Medicare billing to Southern California Physician Network, Inc. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Cardiovascular Disease (Cardiology) (3), Nurse Practitioner (2) and Cardiac Electrophysiology (1). Of these, 5 practice at this address. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Southern California Physician Network, Inc was last updated on May 17, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Southern California Physician Network, Inc · NPI 1083002075
Internal Medicine organization in Corona, California. Organization record, active in the CMS NPPES registry since December 30, 2014.
## Identity
- **NPI:** 1083002075 (Entity type: Organization)
- **Enumerated:** December 30, 2014
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **Organization subpart:** No
- **Authorized official:** Michael Nduati, PRESIDENT
## Practice location
- **Address:** 2250 S MAIN ST STE 201, Corona, CA 92882-2536
- **Phone:** (951) 621-3232 · **Fax:** (951) 882-6967
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 7 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Cardiovascular Disease (Cardiology) (3), Nurse Practitioner (2), Cardiac Electrophysiology (1); 5 practice at this address · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 17, 2024
- **Other identifiers:** Other CA307699 (CA); Medicaid 1083002075 (CA)
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Source: [NPI Profile](https://npiprofile.com/npi/1083002075) · Data from the CMS NPPES public registry.