Individual provider Active NPI

Veronica Michelle Cordero

  • Physician Assistant
  • Sacramento, CA
National Provider Identifier
1104531565
Registry record updated Sep 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA64139 Issued in CA
Practice address
7248 S Land Park Dr Ste 205
Sacramento, CA 95831-3661
Phone
(916) 392-4000
NPI assigned
Jan 19, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA64139 CA Primary
Physician Assistant 363A00000X

Addresses

Primary practice location

7248 S Land Park Dr Ste 205
Sacramento, CA 95831-3661

Mailing address

7248 S Land Park Dr Ste 205
Sacramento, CA 95831-3661
Phone (916) 392-4000

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
I20240508003383 CA Practitioner - Physician Assistant 1850732801 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
64139CAMDPharmacist
PA64139CAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Garcia, Lee & Concepcion Medical Group CurrentSince May 1, 2024 Accepting new patients
Charles Drew University of Medicine & Science PastSince Jan 1, 2023 Accepting new patients

Locations

7248 S Land Park Dr
Ste 205
Sacramento, CA 95831
Phone (916) 392-4000

2101 Stone Blvd
Ste 190
West Sacramento, CA 95691
Phone (916) 371-4939

Interoperability endpoints

  • Direct secure messaging: veronica.cordero.1@18067.direct.athenahealth.com
  • Direct secure messaging: vcordero239048@hpmg.direct-ci.net

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1674086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757980800000",
    "number": "1104531565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-392-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7248 S LAND PARK DR STE 205",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958313661",
            "telephone_number": "916-392-4000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "VERONICA",
        "middle_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-19",
        "last_updated": "2025-09-16",
        "certification_date": "2025-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA64139",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.