Active NPI
Corday Medical Group
- Specialist
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G31116
- Legal business name
- CORDAY MEDICAL GROUP
- Practice address
- 8635 W 3Rd St Ste 485W
Los Angeles, CA 90048-6156 - Phone
- (310) 855-8081
- NPI assigned
- Feb 19, 2008
- Organization subpart
- Yes
- Parent organization
- CORDAY AND CORDAY
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Stephen R Corday, M.D.
- Title
- Doctor
- Phone
- (310) 855-8081
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G31116 | CA | Primary |
Addresses
Primary practice location
8635 W 3Rd St Ste 485W
Los Angeles, CA 90048-6156
Mailing address
8635 W 3Rd St Ste 485W
Los Angeles, CA 90048-6156
Phone (310) 855-8081
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| ZZZ82542Z | Medicaid | CA | |
| ZZZ53071Y | Other | CA | BLUE SHIELD OF CALIFORNIA |
| 010034153 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D0544614 | Corday Medical Group Lab | Compliance | Jan 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
8639 W Third St
790W
Los Angeles, CA 90048
8639 W 3Rd St
790W
Los Angeles, CA 90048
8635 W 3rd St
Ste 485
West Hollywood, CA 90048
Phone (310) 652-9162
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1194759803
-
- Internal Medicine Physician
- Los Angeles, CA
- NPI 1124058474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203379200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1719532800000",
"number": "1821266354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 485W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486156",
"telephone_number": "310-855-8081",
"fax_number": "310-855-0438"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8635 W 3RD ST STE 485W",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900486156",
"telephone_number": "310-855-8081"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CORDAY MEDICAL GROUP",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "CORDAY AND CORDAY",
"enumeration_date": "2008-02-19",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A",
"authorized_official_last_name": "CORDAY",
"authorized_official_first_name": "STEPHEN",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "310-855-8081",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist",
"state": "CA",
"license": "G31116",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "ZZZ82542Z",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD OF CALIFORNIA",
"identifier": "ZZZ53071Y",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "010034153",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.