Individual provider Active NPI

Ricardo Cardenas, PA-C

  • Physician Assistant
  • Santa Ana, CA
National Provider Identifier
1851696967
Registry record updated Apr 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA21403 Issued in CA
Practice address
2101 E 1St St
Santa Ana, CA 92705-4007
Phone
(714) 542-3581
NPI assigned
Jan 20, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA21403 CA Primary

Addresses

Primary practice location

2101 E 1St St
Santa Ana, CA 92705-4007

Mailing address

2101 E 1St St
Santa Ana, CA 92705-4007

Other practice location 1

117 E Harry Bridges Blvd
Wilmington, CA 90744-5825
Phone (310) 549-8383

Other practice location 2

1021 W La Cadena Dr
Riverside, CA 92501-1413
Phone (951) 784-8010

Other practice location 3

2275 E Cooley Dr
Colton, CA 92324-6324
Phone (909) 370-1777

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
I20110610000674 CA Practitioner - Physician Assistant 2264619618 Reassigns benefits to 9 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA21403CAMDPhysician Assistant
21403CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Compass Palliative Care, Inc CurrentSince Aug 30, 2025 Accepting new patients
WCHS, Inc Past Accepting new patients
White Memorial Medical Center Past Accepting new patients
WCHS Inc Past Accepting new patients

Locations

2501 W Burbank Blvd
Ste 200
Burbank, CA 91505
Phone (818) 732-8272

2501 W Burbank Blvd
Ste 206
Burbank, CA 91505
Phone (818) 333-5876

3828 Delmas Ter
Culver City, CA 90232
Phone (310) 202-4745

Organizations & group practices 12

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": "1295481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1851696967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2101 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2101 E 1ST ST",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927054007",
            "telephone_number": "714-542-3581"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 E Harry Bridges Blvd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "CA",
            "postal_code": "907445825",
            "country_code": "US",
            "telephone_number": "310-549-8383",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1021 W La Cadena Dr",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925011413",
            "country_code": "US",
            "telephone_number": "951-784-8010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2275 E Cooley Dr",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923246324",
            "country_code": "US",
            "telephone_number": "909-370-1777",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CARDENAS",
        "first_name": "RICARDO",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-20",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA21403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

Verify at the official NPI Registry.