CORONA VA CLINIC
NPI 1750333845
Clinic/Center - VA in Corona, CA

Active since May 17, 2006CLIA 05D2235559 · Waiver
280 TELLER ST STE 120, CORONA, CA 92879(702) 341-3152 Get Directions Write a Review

NPPES record last updated: December 17, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 17, 2021, Nov 1, 2017, Nov 12, 2015 (3 updates tracked since 2015).

About Corona Va Clinic NPPES

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

CORONA VA CLINIC (NPI 1750333845) is a healthcare organization registered as a va in Corona, California and active in the NPI registry since May 2006. The organization holds a CLIA Waiver certificate valid through September 8, 2027 and lists Erin Potter, Npi Team Member, as its authorized official.

NPPES Registry Identity

NPI1750333845
Entity TypeOrganization
Primary Taxonomy261QV0200X
Legal Business NameLOMA LINDA VAMC
Location Address280 TELLER ST STE 120Corona, CA 92879-1888
Mailing AddressPo Box 94409Cleveland, OH 44101-4409 · (702) 341-3152
Organization SubpartNo
Authorized OfficialErin PotterNpi Team Member · (202) 382-2579
Enumeration DateMay 17, 2006
Last NPPES UpdateDecember 17, 20213 updates tracked since enumeration
NPPES CertifiedDecember 17, 2021
NPI 1750333845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · VAAmbulatory Health Care Facilities
Taxonomy Code261QV0200X
280 TELLER ST STE 120, Corona, CA 92879

Other Names 1

Other NameCorona Va Clinic

CLIA Laboratory Certificates CMS CLIA

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 05D2235559

Corona VA Cboc · Corona, CA
Active · expires Sep 8, 2027
CLIA Number05D2235559
Laboratory TypeAncillary Testing Site In Health Care Center
Certificate Effective DateSeptember 9, 2025
Certificate Expiration DateSeptember 8, 2027
Laboratory DirectorSharon Jamie
Laboratory Phone(661) 441-6862
Laboratory LocationCorona VA Cboc280 Teller St Ste 120, Corona, CA 92879
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Psychologist (Clinical)
280 TELLER ST STE 120
CORONA, CA 92879
Social Worker (Clinical)
280 TELLER ST STE 120
CORONA, CA 92879

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 Loma Linda Vamc's NPI number?

The NPI number for Loma Linda Vamc is 1750333845. It was assigned to this organization in the NPPES registry on May 17, 2006. The provider is also known as Corona VA Clinic.

Where is Loma Linda Vamc located?

Loma Linda Vamc is located at 280 Teller St Ste 120, Corona, CA 92879. The listed phone number is (702) 341-3152.

What is Loma Linda Vamc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in VA, with taxonomy code 261QV0200X.

Does Loma Linda Vamc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2235559) is associated with this NPI, valid through September 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loma Linda Vamc was last updated on December 17, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.