NPIMap

Individual provider Active NPI

Gilbert Cordero, MD

  • Emergency Medicine Physician
  • Santa Barbara, CA
National Provider Identifier
1518948892
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
00025476 Issued in AL
Practice address
649 Verde Mar Unit C
Santa Barbara, CA 93103-5743
Phone
(904) 629-1542
Fax
(904) 629-1542
NPI assigned
Nov 14, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 00025476 AL Primary
Emergency Medicine Physician 207P00000X A80815 CA

Addresses

Primary practice location

649 Verde Mar Unit C
Santa Barbara, CA 93103-5743

Mailing address

649 Verde Mar Unit C
Santa Barbara, CA 93103-5743
Phone (904) 629-1542

Other identifiers 2

IdentifierTypeStateIssuer
051527865MedicaidAL
051527865OtherALBCBS PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20041214001152 CA Practitioner - Emergency Medicine 1254235146 Reassigns benefits to 3 organizations
I20121108000526 AZ Practitioner - Emergency Medicine 1254235146 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of New Mexico School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tec Emergency Physicians of Arizona, LLCGroup PAC ID 6204256084, 155 clinicians

Practice addresses (Care Compare)

1064 E Ray Rd
Chandler, AZ 85225-1542
Phone (888) 732-3317

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
00025476ALMDEmergency Medicine Physician
A80815CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Facey Medical Foundation CurrentSince Feb 11, 2020 Accepting new patients
Culver Emergency Medical Group Emergency Medicine CurrentSince Nov 1, 2015 Accepting new patients
Providence Facey Medical Foundation Current Accepting new patients
Tempe Emergency Physicians, LTD Emergency Medicine CurrentSince Dec 13, 2016 Accepting new patients
Tec Emergency Physicians of Arizona, LLC CurrentSince Aug 13, 2020 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients
University of Alabama Health Services Foundation, PC. Past Accepting new patients
H. Allen Hooper, M.D. a Professional Corporation Emergency Medicine Past Accepting new patients
Jackson Montgomery Emergency Physcians, LLC Emergency Medicine Past Accepting new patients
Nes Georgia, Inc. Emergency Medicine Past Accepting new patients
Southern Solano Emergency Medical Group, Inc Emergency Medicine Past Accepting new patients
Mesa Emergency Group LLC Emergency Medicine Past Accepting new patients
University of Alabama at Birmingham Emergency Medicine Past Accepting new patients
Michael a Rowley MD PA Past Accepting new patients

Locations

2735 Silver Creek Rd
Bullhead City, AZ 86442
Phone (520) 763-2273

1064 E Ray Rd
Chandler, AZ 85225
Phone (480) 494-5100

7171 S 51st Ave
Laveen, AZ 85339
Phone (623) 584-5100

1800 E Van Buren St
Phoenix, AZ 85006
Phone (602) 251-8100

1419 W Hunt Hwy
San Tan Vly, AZ 85143
Phone (480) 245-4300

1500 S Mill Ave
Tempe, AZ 85281
Phone (480) 784-5500

5125 S Rural Rd
Tempe, AZ 85282
Phone (480) 306-8780

26777 Agoura Rd
Ste B4
Calabasas, CA 91302
Phone (818) 880-2225

26777 Agoura Rd
Ste 4
Calabasas, CA 91302
Phone (818) 880-2225

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

19950 Rinaldi St
Ste 103
Porter Ranch, CA 91326
Phone (818) 403-2400

4401 W Memorial Rd
Ste 121
Oklahoma City, OK 73134
Phone (405) 749-4560

Interoperability endpoints

  • Direct secure messaging: gcordero7475@ahs.direct-ci.com

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 9

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": "1131926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457395200000",
    "number": "1518948892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 VERDE MAR UNIT C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931035743",
            "telephone_number": "904-629-1542",
            "fax_number": "904-629-1542"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 VERDE MAR UNIT C",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931035743",
            "telephone_number": "904-629-1542",
            "fax_number": "904-629-1542"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "GILBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-14",
        "last_updated": "2016-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AL",
            "license": "00025476",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A80815",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051527865",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "051527865",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Barbara, CA

Sources for this page

Verify at the official NPI Registry.