BRYAN CABCONCE CORONEL NP
NPI 1710510326
Nurse Practitioner - Family in Manteca, CA

Active since February 21, 2020
1341 HISTORICAL PLAZA WAY, MANTECA, CA 95336(209) 824-1893 Get Directions Write a Review

NPPES record last updated: June 4, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 4, 2020, Feb 21, 2020 (2 updates tracked since 2020).

About Bryan Cabconce Coronel Np NPPES

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

BRYAN CABCONCE CORONEL NP (NPI 1710510326) is an individual family provider in Manteca, California, licensed in California (794627) and active in the NPI registry since February 2020.

NPPES Registry Identity

NPI1710510326
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameBRYAN CABCONCE CORONELCredential: NP
Location Address1341 HISTORICAL PLAZA WAYManteca, CA 95336-5064
Mailing Address1530 E Hammer LnStockton, CA 95210-3149 · (209) 954-3200
Sole ProprietorNo
Enumeration DateFebruary 21, 2020
Last NPPES UpdateJune 4, 20202 updates tracked since enumeration
NPPES CertifiedJune 4, 2020
NPI 1710510326 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License Licensed in CA · 794627
1341 HISTORICAL PLAZA WAY, Manteca, CA 95336

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
1341 HISTORICAL PLAZA WAY
MANTECA, CA 95336

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 Bryan Coronel's NPI number?

The NPI number for Bryan Coronel is 1710510326. It was assigned to this individual provider in the NPPES registry on February 21, 2020.

Where is Bryan Coronel located?

Bryan Coronel practices at 1341 Historical Plaza Way, Manteca, CA 95336. The listed phone number is (209) 824-1893.

What is Bryan Coronel's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

When was this NPI record last updated?

The NPPES record for Bryan Coronel was last updated on June 4, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.