Active NPI
Angel Cordero, FNP
- Family Nurse Practitioner
- Carson, CA
National Provider Identifier
1104725902
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95042260
- Practice address
- 23247 Main St
Carson, CA 90745-5229 - Phone
- (310) 429-0839
- Fax
- (424) 264-5998
- NPI assigned
- Nov 5, 2026
- Last updated
- Nov 5, 2026
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 95042260 | CA | Primary |
Addresses
Primary practice location
23247 Main St
Carson, CA 90745-5229
Mailing address
23247 Main St
Carson, CA 90745-5229
Phone (310) 429-0839
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1793836800000",
"number": "1104725902",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23247 MAIN ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907455229",
"telephone_number": "310-429-0839",
"fax_number": "424-264-5998"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23247 MAIN ST",
"city": "CARSON",
"state": "CA",
"postal_code": "907455229",
"telephone_number": "310-429-0839",
"fax_number": "424-264-5998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDERO",
"first_name": "ANGEL",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-11-05",
"last_updated": "2026-11-05",
"certification_date": "2026-11-05",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95042260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Carson, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.