Illuminate Medical Inc
NPI 1043075112 · Psychiatric/Mental Health Nurse Practitioner · Corona, CA
Illuminate Medical Inc is a Psychiatric/Mental Health Nurse Practitioner organization in Corona, CA (NPI 1043075112).
Provider details
- NPI number
- 1043075112
- Entity type
- Organization
- Primary specialty
- Psychiatric/Mental Health Nurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
- Organization subpart
- No
- Authorized official
- Doris Council, Ceo(409) 356-9778
Specialties & taxonomies
Physician Assistants & Advanced Practice Nursing Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2024-02-19
- Last updated
- 2024-02-19
- Certified
- 2024-02-19
Frequently asked questions
- What is Illuminate Medical Inc's NPI number?
- Illuminate Medical Inc's National Provider Identifier (NPI) is 1043075112, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Illuminate Medical Inc?
- Illuminate Medical Inc is classified in the NPPES registry as Psychiatric/Mental Health Nurse Practitioner (Physician Assistants & Advanced Practice Nursing Providers).
- Where is Illuminate Medical Inc located?
- Illuminate Medical Inc's practice location on file with NPPES is 7891 Slate Creek Rd, Corona, CA 92880-8544.
- What is Illuminate Medical Inc's phone number?
- The practice phone number listed in the NPPES registry for Illuminate Medical Inc is (409) 356-9778.
- Who is the authorized official for Illuminate Medical Inc?
- The authorized official listed on Illuminate Medical Inc's NPPES record is Doris Council, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Illuminate Medical Inc's NPI active?
- Yes — Illuminate Medical Inc's NPI (1043075112) is active in the NPPES registry as of the last update on 2024-02-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.