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CITRUS VALLEY
NPI 1144345158
Family Medicine in Corona, CA

Active since March 20, 2007CLIA Certified · 2 labs
854 MAGNOLIA AVE STE 1010, CORONA, CA 92879(951) 737-8141 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Citrus Valley NPPES

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

CITRUS VALLEY (NPI 1144345158) is a healthcare organization registered as a family medicine in Corona, California and active in the NPI registry since March 2007. The organization holds 2 active CLIA laboratory certificates and lists Wyndi Bleeker, Systems Manager, as its authorized official.

NPPES Registry Identity

NPI1144345158
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameCITRUS VALLEY
Location Address854 MAGNOLIA AVE STE 1010Corona, CA 92879-3109
Mailing Address1860 Hamner AveNorco, CA 92860-2945 · (951) 737-8177
Phone(951) 737-8141
Organization SubpartNo
Authorized OfficialWyndi BleekerSystems Manager · (951) 751-3150
Enumeration DateMarch 20, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1144345158 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A21618
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
854 MAGNOLIA AVE STE 1010, Corona, CA 92879
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0951281

Citrus Valley Family Practice · Corona, CA
Active · expires Jul 23, 2027
CLIA Number05D0951281
Laboratory TypePhysician Office
Certificate Effective DateJuly 24, 2025
Certificate Expiration DateJuly 23, 2027
Laboratory DirectorHelen Patzanakidis
Laboratory Phone(951) 737-1454
Laboratory LocationCitrus Valley Family Practice2250 So Main St Ste 104, Corona, CA 92882
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 05D2013914

Citrus Valley Internal Medicine · Corona, CA
Active · expires Oct 26, 2026
CLIA Number05D2013914
Laboratory TypePhysician Office
Certificate Effective DateOctober 27, 2024
Certificate Expiration DateOctober 26, 2026
Laboratory DirectorChris Bovetas
Laboratory Phone(951) 371-2703
Laboratory LocationCitrus Valley Internal Medicine2250 S Main St, Ste 106, Corona, CA 92882
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

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 Citrus Valley's NPI number?

The NPI number for Citrus Valley is 1144345158. It was assigned to this organization in the NPPES registry on March 20, 2007.

Where is Citrus Valley located?

Citrus Valley is located at 854 Magnolia Ave Ste 1010, Corona, CA 92879. The listed phone number is (951) 737-8141.

What is Citrus Valley's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Citrus Valley hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Citrus Valley was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.