Marlene M. Cordero, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A39491 Issued in CA

Practice address

350 Posada LN
Suite 203
Templeton, CA 93465-4059

Phone

(805) 434-5013

Fax

(805) 434-5014

NPI assigned

Jul 4, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: marlene.cordero.1@24744.direct.athenahealth.com

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.

• Department of State Hospitals

  • Psychiatric Hospital
  • Coalinga, CA
  • NPI 1124078704
  Medicare reassignment NPD
• Marlene M Cordero M.D Incorporated.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Templeton, CA
  • NPI 1598426504
  NPD (past) Authorized official
• Department of State Hospitals

  • Psychiatric Hospital
  • Atascadero, CA
  • NPI 1174573802
  NPD

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277337600000",
    "number": "1548290786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 POSADA LN",
            "address_2": "SUITE 203",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654059",
            "telephone_number": "805-434-5013",
            "fax_number": "805-434-5014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 POSADA LN",
            "address_2": "SUITE 203",
            "city": "TEMPLETON",
            "state": "CA",
            "postal_code": "934654059",
            "telephone_number": "805-434-5013",
            "fax_number": "805-434-5014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "MARLENE",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-04",
        "last_updated": "2010-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A39491",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Health Centers of the Central Coast, Inc
• Kevin Connolly, M.D.
• Joanna Margaret Cooper, MPH RD CDE
• Harry F. Corbett, MD
• Crystal Corcoran, RD
• Reynaldo Madrid Cordero, M.D.
• Ceola Corella
• Carson Costa
• Kristi Sue Cottrell, NURSE PRACTITIONER
• Frances Irene Coughlin

• Specialist in Templeton, CA
• Providers in Templeton, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2010; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.