NPIMap

Organization Active NPI

Reynaldo M. Cordero, M.D, Inc.

  • Emergency Medicine Physician
  • Templeton, CA
National Provider Identifier
1154480648
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
REYNALDO M. CORDERO, M.D, INC.
Practice address
350 Posada LN
Suite 102
Templeton, CA 93465-4059
Phone
(805) 434-3699
Fax
(805) 434-5915
NPI assigned
Dec 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Mrs. Debbie Romero
Title
Manager
Phone
(805) 434-3699

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

350 Posada LN
Suite 102
Templeton, CA 93465-4059

Mailing address

350 Posada LN
#102
Templeton, CA 93465-4059
Phone (805) 434-3699

Other names 1

  • Medworks Medical Center Doing business as

National Provider Directory

National Provider Directory

Locations

350 Posada Ln
Ste 102
Templeton, CA 93465
Phone (805) 434-3699

Networks

  • BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1165536000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1154480648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POSADA LN",
            "address_2": "#102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654059",
            "telephone_number": "805-434-3699",
            "fax_number": "805-434-5915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LN",
            "address_2": "SUITE 102",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654059",
            "telephone_number": "805-434-3699",
            "fax_number": "805-434-5915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REYNALDO M. CORDERO, M.D, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-08",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "ROMERO",
        "authorized_official_first_name": "DEBBIE",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "805-434-3699",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medworks Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Templeton, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; 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.