CORONA SPECIALTY CARE SURGERY CENTER
NPI 1760740674
Clinic/Center - Ambulatory Surgical in Corona, CA

Active since April 27, 2012CLIA 05D2046285 · Waiver
1810 FULLERTON AVE, SUITE 103, CORONA, CA 92881(951) 734-7246 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Corona Specialty Care Surgery Center NPPES

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

CORONA SPECIALTY CARE SURGERY CENTER (NPI 1760740674) is a healthcare organization registered as an ambulatory surgical in Corona, California and active in the NPI registry since April 2012. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Khuram A Sial, President, as its authorized official.

NPPES Registry Identity

NPI1760740674
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameCORONA PAIN MANAGEMENT CENTER
Location Address1810 FULLERTON AVE, SUITE 103Corona, CA 92881-3103
Mailing Address31569 Canyon Estates Dr Ste 135Lake Elsinore, CA 92532-0472 · (951) 734-7246
Organization SubpartNo
Authorized OfficialKhuram A SialPresident · (951) 734-7246
Enumeration DateApril 27, 2012
Last NPPES UpdateMarch 14, 2024
NPPES CertifiedMarch 14, 2024
NPI 1760740674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1810 FULLERTON AVE, Corona, CA 92881

Other Names 1

Doing Business AsCorona Specialty Care Surgery Center

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 05D2046285

Corona Specialty Care Surgery Center · Corona, CA
Active · expires Aug 29, 2026
CLIA Number05D2046285
Laboratory TypePhysician Office
Certificate Effective DateAugust 30, 2024
Certificate Expiration DateAugust 29, 2026
Laboratory DirectorKhuram Sial
Laboratory Phone(951) 734-7246
Laboratory LocationCorona Specialty Care Surgery Center1810 Fullerton Ave., Suite 103, Corona, CA 92881
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

Obstetrics & Gynecology (Gynecology)
1810 FULLERTON AVE, STE 203
CORONA, CA 92881
Ophthalmology
1810 FULLERTON AVE, SUITE 103
CORONA, CA 92881
Clinic/Center (Ambulatory Surgical)
1810 FULLERTON AVE, SUITE 103
CORONA, CA 92881
Optometrist
1810 FULLERTON AVE, SUITE 201
CORONA, CA 92881
Family Medicine
1810 FULLERTON AVE
CORONA, CA 92881
Clinical Medical Laboratory
1810 FULLERTON AVE, STE 102
CORONA, CA 92881
Physical Medicine & Rehabilitation (Pain Medicine)
1810 FULLERTON AVE, SUITE 104
CORONA, CA 92881
Clinic/Center (Medical Specialty)
1810 FULLERTON AVE, SUITE 203
CORONA, CA 92881

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 Corona Pain Management Center's NPI number?

The NPI number for Corona Pain Management Center is 1760740674. It was assigned to this organization in the NPPES registry on April 27, 2012. The provider is doing business as Corona Specialty Care Surgery Center.

Where is Corona Pain Management Center located?

Corona Pain Management Center is located at 1810 Fullerton Ave Suite 103, Corona, CA 92881. The listed phone number is (951) 734-7246.

What is Corona Pain Management Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Corona Pain Management Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2046285) is associated with this NPI, valid through August 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Corona Pain Management Center was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.