Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Illuminate Medical Inc

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1043075112

Illuminate Medical Inc is a Psychiatric/Mental Health Nurse Practitioner in Corona, California. Registered with an NPI since 2024.

In the registry since
2024
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

7891 Slate Creek Rd
Corona, CA 92880-8544
Phone: (409) 356-9778
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1043075112
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Doris Council — Ceo · (409) 356-9778
NPI enumeratedFebruary 19, 2024
Last updated in NPPESFebruary 19, 2024
Certification dateFebruary 19, 2024
Mailing address7891 Slate Creek Rd, Corona, CA 92880-8544

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