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MADISON RAE CORN
NPI 1407746290
Student in an Organized Health Care Education/Training Program in San Diego, CA

Active since July 03, 2025
9055 BALBOA AVE, SAN DIEGO, CA 92123(619) 849-2533 Get Directions Write a Review

NPPES record last updated: July 3, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Madison Rae Corn NPPES

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

MADISON RAE CORN (NPI 1407746290) is an individual student in an organized health care education/training program in San Diego, California and active in the NPI registry since July 2025.

NPPES Registry Identity

NPI1407746290
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameMADISON RAE CORN
Location Address9055 BALBOA AVESan Diego, CA 92123-1509
Mailing Address6530 Ambrosia Dr Apt 5103San Diego, CA 92124-5111 · (951) 501-6283
Phone(619) 849-2533
Sole ProprietorNo
Enumeration DateJuly 3, 2025
NPPES CertifiedJuly 3, 2025
✔ NPI 1407746290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X
9055 BALBOA AVE, San Diego, CA 92123
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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.

MEGAN ANN CHAMBERS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
RYLEE HANNAH NELSEN I
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ALICIA JOANNE HENSON PA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
NIDA EJAZ
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331
ANGELINA JILIS HARGROVE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 329-6799
MICHAEL F STATZULA
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (505) 980-0259
ANNE VANDERWEIDE
Specialist/Technologist (Athletic Trainer)
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (907) 632-1748
DYLAN SIMMONS
Student in an Organized Health Care Education/Training Program
9055 BALBOA AVE
SAN DIEGO, CA 92123
San Diego County (619) 849-3331

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 Madison Corn's NPI number?

The NPI number for Madison Corn is 1407746290. It was assigned to this individual provider in the NPPES registry on July 3, 2025.

Where is Madison Corn located?

Madison Corn practices at 9055 Balboa Ave, San Diego, CA 92123. The listed phone number is (619) 849-2533.

What is Madison Corn's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

When was this NPI record last updated?

The NPPES record for Madison Corn was last updated on July 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.