Active NPI
Nolan Kim Cordell, M.D.
- Internal Medicine Physician
- Long Beach, CA
National Provider Identifier
1588758387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- G60278
- Practice address
- 5901 E. 7TH Street
Long Beach, CA 90822 - Phone
- (562) 826-8000
- Fax
- (562) 826-5765
- NPI assigned
- Oct 3, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | G60278 | CA | Primary |
Addresses
Primary practice location
5901 E. 7TH Street
Long Beach, CA 90822
Mailing address
2015 Roxanne Avenue
Long Beach, CA 90815
Phone (562) 493-0356
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20190306003324 | CA | Order and Referring Only - Internal Medicine | 9537408679 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1588758387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2015 ROXANNE AVENUE",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90815",
"telephone_number": "562-493-0356"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5901 E. 7TH STREET",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "90822",
"telephone_number": "562-826-8000",
"fax_number": "562-826-5765"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CORDELL",
"first_name": "NOLAN",
"middle_name": "KIM",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "G60278",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Long Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.