Individual provider Active NPI

Julie Ann Cordero, MSN,APRN,FNP-C

  • Family Nurse Practitioner
  • Valencia, CA
National Provider Identifier
1033781687
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95016113 Issued in CA
Practice address
25775 McBean Pkwy Ste 106
Valencia, CA 91355-3702
Phone
(661) 362-8100
NPI assigned
Jul 13, 2021
Last updated
Jul 13, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95016113 CA Primary

Addresses

Primary practice location

25775 McBean Pkwy Ste 106
Valencia, CA 91355-3702

Mailing address

19675 Griffith Dr
Santa Clarita, CA 91350-3699
Phone (781) 300-1613

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221110001379 CA Practitioner - Nurse Practitioner 2961879507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sierra Medical Group Holding Company, Inc.Group PAC ID 9335185594, 9 clinicians

Practice addresses (Care Compare)

25775 McBean Pkwy
Suite 106
Valencia, CA 91355-3702
Phone (661) 362-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing

State licenses

LicenseStateTypeSpecialty
95016113CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Sierra Medical Group Holding Company, Inc. CurrentSince Jul 30, 2022 Accepting new patients

Locations

44469 10th St W
Lancaster, CA 93534
Phone (661) 945-9411

25775 McBean Pkwy
Ste 106
Valencia, CA 91355
Phone 6267889152105

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1626134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626134400000",
    "number": "1033781687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19675 GRIFFITH DR",
            "city": "SANTA CLARITA",
            "state": "CA",
            "postal_code": "913503699",
            "telephone_number": "781-300-1613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25775 MCBEAN PKWY STE 106",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913553702",
            "telephone_number": "661-362-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "JULIE",
        "middle_name": "ANN",
        "credential": "MSN,APRN,FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-13",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95016113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

Verify at the official NPI Registry.