Active NPI
Jose Francisco Cordon
- Marriage & Family Therapist
- Upland, CA
National Provider Identifier
1720539497
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 108475
- Practice address
- 222 N Mountain Ave
Upland, CA 91786 - Phone
- (562) 760-8742
- NPI assigned
- Oct 18, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 108475 | CA | Primary |
| Mental Health Counselor | 101YM0800X | |||
| Case Manager/Care Coordinator | 171M00000X |
Addresses
Primary practice location
222 N Mountain Ave
Upland, CA 91786
Mailing address
12970 Sample CT
Moreno Valley, CA 92555-2306
Phone (562) 760-8742
Other practice location 1
34324 Yucaipa Blvd
Yucaipa, CA 92399-2496
Phone (877) 527-7227
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 108475 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Children'S Society, Inc | Past | Accepting new patients | |
| South Coast Children'S Society, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Mission Viejo, CA
- NPI 1083503577
-
- Community/Behavioral Health Agency
- Yucaipa, CA
- NPI 1962634956
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1536537600000",
"number": "1720539497",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12970 SAMPLE CT",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925552306",
"telephone_number": "562-760-8742"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "222 N MOUNTAIN AVE",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786",
"telephone_number": "562-760-8742"
}
],
"practiceLocations": [
{
"address_1": "34324 Yucaipa Blvd",
"address_purpose": "LOCATION",
"city": "Yucaipa",
"state": "CA",
"postal_code": "923992496",
"country_code": "US",
"telephone_number": "877-527-7227",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CORDON",
"first_name": "JOSE",
"middle_name": "FRANCISCO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-10-18",
"last_updated": "2018-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "108475",
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.