Individual provider Active NPI

Ash Tajarros Cordero, FNP

  • Family Nurse Practitioner
  • Norwalk, CA
National Provider Identifier
1770942336
Registry record updated Jun 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
NP95003652 Issued in CA
Practice address
11735 Firestone Blvd
Norwalk, CA 90650-2808
Phone
(562) 925-7716
NPI assigned
Feb 11, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2025

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 NP95003652 CA Primary

Addresses

Primary practice location

11735 Firestone Blvd
Norwalk, CA 90650-2808

Mailing address

11735 Firestone Blvd
Norwalk, CA 90650-2808
Phone (562) 925-7716

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
I20180215002572 CA Practitioner - Nurse Practitioner 9032479860 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Manuel F Mendoza MD IncGroup PAC ID 9537244769, 7 clinicians

Practice addresses (Care Compare)

Anaheim, CA 92801
Phone (714) 322-7564

11735 Firestone Blvd
Norwalk, CA 90650-2808
Phone (562) 925-7716

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
NP95003652CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vivenza Medical Group Apmc Family CurrentSince Mar 1, 2026 Accepting new patients
Rapha Apmc Family CurrentSince Feb 1, 2026 Accepting new patients
Manuel F. Mendoza, M.D., Inc CurrentSince Mar 1, 2019 Accepting new patients

Locations

16323 Clark Ave
Bellflower, CA 90706
Phone (562) 925-7716

11735 Firestone Blvd
Norwalk, CA 90650
Phone (562) 925-7716

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: acordero@manuelfmendozamdinc.adaptamed.direct-ci.com

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1455148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750204800000",
    "number": "1770942336",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11735 FIRESTONE BLVD",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906502808",
            "telephone_number": "562-925-7716"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CORDERO",
        "first_name": "ASH",
        "middle_name": "TAJARROS",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-11",
        "last_updated": "2025-06-18",
        "certification_date": "2025-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "NP95003652",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CA

Sources for this page

Verify at the official NPI Registry.