PROVIDENT HOSPITALIST ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION
NPI 1083998173
Internal Medicine in Corona, CA

Q: What is Provident Hospitalist Associates, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since October 06, 2011

800 S MAIN ST, CORONA, CA 92882(951) 737-4343 Get Directions Write a Review

NPPES record last updated: October 10, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Provident Hospitalist Associates, A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROVIDENT HOSPITALIST ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION (NPI 1083998173) is a healthcare organization registered as an internal medicine in Corona, California and active in the NPI registry since October 2011. The organization lists Sunil Sujan, Ceo, as its authorized official.

NPPES Registry Identity

NPI1083998173

Entity TypeOrganization

Primary Taxonomy207R00000X

Legal Business NamePROVIDENT HOSPITALIST ASSOCIATES, A PROFESSIONAL MEDICAL CORPORATION

Location Address800 S MAIN STCorona, CA 92882-3420

Mailing Address1191 Magnolia Ave, Suite D #248Corona, CA 92879-3215 · (951) 736-6325

Phone(951) 737-4343

Organization SubpartNo

Authorized OfficialSunil SujanCeo · (310) 351-4566

Enumeration DateOctober 6, 2011

Last NPPES UpdateOctober 10, 2011

✔ NPI 1083998173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in CA · A63079

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

800 S MAIN ST, Corona, CA 92882

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AARON DEATHERAGE

Student in an Organized Health Care Education/Training Program