Individual provider Active NPI

Vanessa Elizabeth Cordova, NP

  • Family Nurse Practitioner
  • Vista, CA
National Provider Identifier
1740735745
Registry record updated Jul 7, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95004686 Issued in CA
Practice address
1926 Via Ctr
Vista, CA 92081-6056
Phone
(760) 940-7000
NPI assigned
Aug 18, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95004686 CA Primary

Addresses

Primary practice location

1926 Via Ctr
Vista, CA 92081-6056

Mailing address

1926 Via Ctr
Vista, CA 92081-6056
Phone (760) 940-7000

Other practice location 1

350 Parnassus Ave # 700B
San Francisco, CA 94117-3608
Phone (415) 651-3342

Other identifiers 1

IdentifierTypeStateIssuer
CB230395OtherCAMEDICARE

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171128002038 CA Practitioner - Nurse Practitioner 2961769070 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Tri-City Primary Care Medical Group IncGroup PAC ID 3870810823, 8 clinicians

Practice addresses (Care Compare)

1926 Via Ctr
Suite a
Vista, CA 92081-6056
Phone (760) 940-7000

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95004686CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-City Primary Care Medical Group, Inc CurrentSince Sep 27, 2017 Accepting new patients

Locations

6185 Paseo del Norte
Ste 100
Carlsbad, CA 92011
Phone (714) 272-1600

6185 Paseo del Norte
Carlsbad, CA 92011
Phone (760) 438-3300

1926 Via Ctr
Vista, CA 92081
Phone (760) 940-7000

1926 Via Ctr
#A
Vista, CA 92081
Phone (760) 940-7000

Interoperability endpoints

  • Direct secure messaging: vanessa.cordova@tricityprimarycare.cernerdirect.com
  • FHIR API: https://fhir-myrecord.cerner.com/r4/6f6fa04d-6294-46cb-a755-92fcf4395ad8/

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783382400000",
    "number": "1740735745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-940-7000",
            "fax_number": "760-940-0042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1926 VIA CTR",
            "city": "VISTA",
            "state": "CA",
            "postal_code": "920816056",
            "telephone_number": "760-940-7000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 Parnassus Ave # 700B",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941173608",
            "country_code": "US",
            "telephone_number": "415-651-3342",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORDOVA",
        "first_name": "VANESSA",
        "middle_name": "ELIZABETH",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-18",
        "last_updated": "2026-07-07",
        "certification_date": "2026-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95004686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "CB230395",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Vista, CA

Sources for this page

Verify at the official NPI Registry.