Active NPI
Daniel V Cordoba, MD
- Hospitalist Physician
- Fresno, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospitalist Physician
- License
- A68636
- Practice address
- 6327 N. Fresno Street
Suite 104
Fresno, CA 93710-5236 - Phone
- (559) 431-4020
- Fax
- (559) 431-4589
- NPI assigned
- Jun 30, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A68636 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A68636 | CA | |
| Hospice and Palliative Medicine (Internal Medicine) Physician | 207RH0002X | A68636 | CA | |
| Hospitalist Physician | 208M00000X | A68636 | CA | Primary |
Addresses
Primary practice location
6327 N. Fresno Street
Suite 104
Fresno, CA 93710-5236
Mailing address
6327 N. Fresno Street
Suite 104
Fresno, CA 93710-5236
Phone (559) 431-4020
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A686360 | Medicaid | CA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Hospitalist
- Education
- Creighton University School of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2755 Herndon Ave
Clovis, CA 93611-6800
Phone (559) 228-4327
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.41 of 100
- Quality
- 87.02
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 78.21
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A68636 | CA | MD | Hospice and Palliative Medicine (Internal Medicine) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Community Foundation Medical Group | Internal Medicine | Current | Accepting new patients |
| Community Foundation Medical Group | Current | Accepting new patients | |
| Fresno Community Hospital and Medical Center | Past | Accepting new patients | |
| John Roper MD, Inc | Critical Care Medicine | Past | Accepting new patients |
| Sports Medicine Grant, Inc | Past | Accepting new patients | |
| Presbyterian Healthcare Services | Internal Medicine | Past | Accepting new patients |
| Pardeep S. Bhullar MD, Inc | Critical Care Medicine | Past | Accepting new patients |
| Hanford Community Hospital | Past | Accepting new patients |
Locations
2755 Herndon Ave
Clovis, CA 93611
Phone (559) 323-4000
1303 E Herndon Ave
Stop 35
Fresno, CA 93720
Phone (559) 431-4020
7370 N Palm Ave
Ste 101
Fresno, CA 93711
Phone (559) 228-4222
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
1303 E Herndon Ave
Fresno, CA 93720
Phone (559) 449-3000
Organizations & group practices 8
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.
-
- Internal Medicine Physician
- Fresno, CA
- NPI 1811258510
-
- Orthopaedic Surgery Physician
- Fresno, CA
- NPI 1376056721
-
- General Acute Care Hospital
- Fresno, CA
- NPI 1104906569
-
- General Acute Care Hospital
- Hanford, CA
- NPI 1538141627
-
- Critical Care Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1770642639
-
- Critical Care Medicine (Internal Medicine) Physician
- Fresno, CA
- NPI 1497951974
-
- Rural Acute Care Hospital
- Clovis, NM
- NPI 1629053509
Internal Medicine
-
- Orthopaedic Surgery Physician
- Columbus, OH
- NPI 1588649842
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Clovis, CA
- NPI 1316027709
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120089600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541030400000",
"number": "1215934526",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6327 N. FRESNO STREET",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105236",
"telephone_number": "559-431-4020",
"fax_number": "559-431-4589"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6327 N. FRESNO STREET",
"address_2": "SUITE 104",
"city": "FRESNO",
"state": "CA",
"postal_code": "937105236",
"telephone_number": "559-431-4020",
"fax_number": "559-431-4589"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDOBA",
"first_name": "DANIEL",
"middle_name": "V",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-06-30",
"last_updated": "2018-11-01",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A68636",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A68636",
"primary": false
},
{
"code": "207RH0002X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hospice and Palliative Medicine",
"state": "CA",
"license": "A68636",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "CA",
"license": "A68636",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A686360",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.