MAGNOLIA CONGREGATE LIVING INC
NPI 1811786825
Nurse Practitioner in Corona, CA

Active since May 05, 2025
1572 EVERGREEN LN, CORONA, CA 92879(562) 301-8792 Get Directions Write a Review

NPPES record last updated: May 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: May 13, 2026, May 5, 2025 (2 updates tracked since 2025).

About Magnolia Congregate Living Inc NPPES

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

MAGNOLIA CONGREGATE LIVING INC (NPI 1811786825) is a healthcare organization registered as a nurse practitioner in Corona, California and active in the NPI registry since May 2025. The organization lists Cindy Cornejo Le, Cno, as its authorized official.

NPPES Registry Identity

NPI1811786825
Entity TypeOrganization
Primary Taxonomy363L00000X
Legal Business NameMAGNOLIA CONGREGATE LIVING INC
Location Address1572 EVERGREEN LNCorona, CA 92879-3010
Mailing Address4042 Winterhaven StYorba Linda, CA 92886-1647 · (562) 301-8792
Organization SubpartNo
Authorized OfficialCindy Cornejo LeCno · (562) 301-8792
Enumeration DateMay 5, 2025
Last NPPES UpdateMay 13, 20262 updates tracked since enumeration
NPPES CertifiedMay 13, 2026
NPI 1811786825 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
1572 EVERGREEN LN, Corona, CA 92879

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

Skilled Nursing Facility
1572 EVERGREEN LN
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 Magnolia Congregate Living Inc's NPI number?

The NPI number for Magnolia Congregate Living Inc is 1811786825. It was assigned to this organization in the NPPES registry on May 5, 2025.

Where is Magnolia Congregate Living Inc located?

Magnolia Congregate Living Inc is located at 1572 Evergreen Ln, Corona, CA 92879. The listed phone number is (562) 301-8792.

What is Magnolia Congregate Living Inc's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Magnolia Congregate Living Inc was last updated on May 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.