Individual provider Active NPI

Daniel V Cordoba, MD

  • Hospitalist Physician
  • Fresno, CA
National Provider Identifier
1215934526
Registry record updated Nov 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospitalist PhysicianTaxonomy code 208M00000X
License
A68636 Issued in CA
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

Updated by the provider on Nov 1, 2018

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
00A686360MedicaidCA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100315000673 CA Practitioner - HospitalistPractitioner - Hospice/Palliative CarePractitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 4183759293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Critical Care (Intensivists), Hospice/Palliative Care, Internal Medicine
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 100Reported as group
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

LicenseStateTypeSpecialty
A68636CAMDHospice and Palliative Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Foundation Medical Group Internal Medicine Current Accepting new patients
Community Foundation Medical Group CurrentSince May 1, 2019 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.