Active NPI
Raymund S Cordero, M.D.
- Surgery Physician
- Wildomar, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A060160
- Practice address
- 36320 Inland Valley Dr
Suite 201
Wildomar, CA 92595-7512 - Phone
- (951) 698-3000
- Fax
- (951) 698-7700
- NPI assigned
- Jul 31, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A060160 | CA | Primary |
Addresses
Primary practice location
36320 Inland Valley Dr
Suite 201
Wildomar, CA 92595-7512
Mailing address
36320 Inland Valley Dr
Suite 201
Wildomar, CA 92595-7512
Phone (951) 698-3000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070830000575 | CA | Practitioner - General Surgery | 6002909439 |
Reassigns benefits to 2 organizations Practice locations: Wildomar, CA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A060160 | CA | MD | Surgery Physician |
Practice roles (8 of 9)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murrieta Valley Surgery Associates Medical Group, Inc, Apc | Surgery | Current | Accepting new patients |
| Inland Valley Trauma and Acute Care Surgery Apc Inc | Surgery | Current | Accepting new patients |
| Temecula Valley Hospital Inc | Past | Accepting new patients | |
| Hemet Valley Medical Center | Past | Accepting new patients | |
| Menifee Valley Medical Center | Past | Accepting new patients | |
| Uhs Corona Inc | Past | Accepting new patients | |
| Universal Health Services of Rancho Springs Inc | Past | Accepting new patients | |
| Physicians' Hospital of Murrieta, LLC | Past | Accepting new patients |
Locations
830 Magnolia Ave
Fl 1
Corona, CA 92879
Phone (657) 216-6090
830 Magnolia Ave
Ste 1
Corona, CA 92879
3853 W Stetson Ave
Ste 105
Hemet, CA 92545
31537 Rancho Pueblo Rd
Ste 202
Temecula, CA 92592
Phone (951) 698-3000
36320 Inland Valley Dr
Ste 101
Wildomar, CA 92595
Phone (951) 600-3811
36485 Inland Valley Dr
Wildomar, CA 92595
Phone (909) 677-9778
36320 Inland Valley Dr
Ste 101A
Wildomar, CA 92595
Phone 9516983000 ext. 304
36320 Inland Valley Dr
Ste 201
Wildomar, CA 92595
Phone (951) 698-3000
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- rcordero181880@direct.llu.edu
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Surgery Physician
- Wildomar, CA
- NPI 1417448168
CA, Surgery
-
- Surgery Physician
- Wildomar, CA
- NPI 1760743454
CA, Surgery
-
- General Acute Care Hospital
- Hemet, CA
- NPI 1508939349
-
- General Acute Care Hospital
- Sun City, CA
- NPI 1881781482
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1386945947
-
- General Acute Care Hospital
- Temecula, CA
- NPI 1679816201
-
- Rehabilitation Hospital Unit
- Corona, CA
- NPI 1255327920
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1588908388
Hospital
-
- General Acute Care Hospital
- Murrieta, CA
- NPI 1245221050
Hospital
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Saint Louis University School of Medicine, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Murrieta Valley Surgery Associates Medical Group Inc ApcInland Valley Trauma and Acute Care Surgery Apc Inc
Practice addresses (Care Compare)
36320 Inland Valley Dr
Wildomar, CA 92595-7512
Phone (951) 698-3000
Hospital & facility affiliations
- Southwest Healthcare Rancho Springs Hospital
- Temecula Valley Hospital
- Loma Linda University Medical Center-Murrieta
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1338249600000",
"number": "1003822347",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36320 INLAND VALLEY DR",
"address_2": "SUITE 201",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957512",
"telephone_number": "951-698-3000",
"fax_number": "951-698-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36320 INLAND VALLEY DR",
"address_2": "SUITE 201",
"city": "WILDOMAR",
"state": "CA",
"postal_code": "925957512",
"telephone_number": "951-698-3000",
"fax_number": "951-698-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "RAYMUND",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2012-05-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A060160",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wildomar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.