Individual provider Active NPI

Hector Eduardo Cordero Lopez, DDS

  • General Practice Dentistry
  • San Jacinto, CA
National Provider Identifier
1124975214
Registry record updated May 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
112789 Issued in CA
Practice address
2765 Newcastle Way
San Jacinto, CA 92582-3749
Phone
(951) 435-9964
NPI assigned
Mar 16, 2026
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 2, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 112789 CA Primary

Addresses

Primary practice location

2765 Newcastle Way
San Jacinto, CA 92582-3749

Mailing address

2765 Newcastle Way
San Jacinto, CA 92582-3749
Phone (951) 435-9964

Other names 1

  • Dr. Hector Cordero Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777680000000",
    "number": "1124975214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2765 NEWCASTLE WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823749",
            "telephone_number": "951-435-9964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2765 NEWCASTLE WAY",
            "city": "SAN JACINTO",
            "state": "CA",
            "postal_code": "925823749",
            "telephone_number": "951-435-9964"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO LOPEZ",
        "first_name": "HECTOR",
        "middle_name": "EDUARDO",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-05-02",
        "certification_date": "2026-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "112789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HECTOR",
            "last_name": "CORDERO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in San Jacinto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.