Carlos L. Cordoba M.D. Inc.

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

CARLOS L. CORDOBA M.D. INC.

Practice address

703 N Fulton St
Fresno, CA 93728-3405

Phone

(559) 233-3343

Fax

(559) 233-3350

NPI assigned

Jun 19, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Carlos L. Cordoba, M.D.

Title

Medical Director

Phone

(559) 233-3343

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Yevgeniya Bagdasarova, PA-C

  • Physician Assistant
  • Fresno, CA
  • NPI 1699701102
  NPD (past)
• Earl Don Fernando, M.D.

  • Family Medicine Physician
  • Fresno, CA
  • NPI 1033255021
  NPD (past)
• Pushpa Gursahani, MD

  • General Practice Physician
  • Anaheim, CA
  • NPI 1831154673
  NPD (past)

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

{
    "created_epoch": "1150675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277424000000",
    "number": "1265477624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "703 N FULTON ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283405",
            "telephone_number": "559-233-3343",
            "fax_number": "559-233-3350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 N FULTON ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937283405",
            "telephone_number": "559-233-3343",
            "fax_number": "559-233-3350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS L. CORDOBA M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-19",
        "last_updated": "2010-06-25",
        "status": "A",
        "authorized_official_last_name": "CORDOBA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "559-233-3343",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Danielle Marie Carey
• Madelyn R. Carey, DNP, FNP-BC
• Jacqueline Carino, NP
• Carl Christenson, DPM
• Julie Carlock, RNFA
• Carlos M Hernandez DDS Corporation (H & H Dentistry and Orthodontics)
• Carlos R. Torres DDS. Inc.
• Audrey Carlos
• Jaime Carlos Jr.
• Sophia Lorraine Carlos, LVN

• Health Service Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Health Service Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2010; 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.