Provider Demographics
NPI:1992850291
Name:CORVERA, ALMA CEJA (PA)
Entity type:Individual
Prefix:MRS
First Name:ALMA
Middle Name:CEJA
Last Name:CORVERA
Suffix:
Gender:F
Credentials:PA
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Other - First Name:
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Mailing Address - Street 1:222 W HENDERSON AVE
Mailing Address - Street 2:
Mailing Address - City:PORTERVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:93257-1731
Mailing Address - Country:US
Mailing Address - Phone:559-784-5483
Mailing Address - Fax:
Practice Address - Street 1:101 N PALM ST
Practice Address - Street 2:
Practice Address - City:WOODLAKE
Practice Address - State:CA
Practice Address - Zip Code:93286-1422
Practice Address - Country:US
Practice Address - Phone:559-564-1100
Practice Address - Fax:559-564-1101
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2024-12-18
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPA14151363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant