FAUSTO SANTIAGO CORDERO (NPI# 1124052477) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124052477 |
| Entity Type | Individual |
| Full Name | FAUSTO SANTIAGO CORDERO |
| Credential | MD |
| Practice Address |
18460 Roscoe Blvd Northridge CA 91325-4107 |
| Mailing Address |
Po Box 9602 Mission Hills CA 91346-9602 |
| Practice Telephone | 8187343610 |
| Practice Fax Number | 8187343694 |
| Mailing Telephone | 8188375691 |
| Mailing Fax Number | 8187924793 |
| Enumeration Date | 2006-07-11 |
| Last Update Date | 2014-04-03 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | G60861 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | 00G608610 | 05 |
| Street Address |
18460 ROSCOE BLVD |
| City | NORTHRIDGE |
| State | CA |
| Zip Code | 91325-4107 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821085374 | Mary B Dickens | Nurse Practitioner | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2005-09-30 |
| 1821592502 | Michael James Blahut IIi | Family Medicine | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2018-03-19 |
| 1649690108 | Chrissie A Espindola | Family Medicine | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2014-04-23 |
| 1790082139 | Carey W. Mahoney | Nurse Practitioner | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2011-02-22 |
| 1053586370 | Vahe Mooradian | Family Medicine | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2008-04-28 |
| 1588737720 | Viviana Teodora Ionescu-tiba | Family Medicine | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2006-11-16 |
| 1205946027 | Mariver G. Salcedo | Internal Medicine | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2006-08-30 |
| 1508974718 | Daniel James Lewis | Internal Medicine | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2006-08-28 |
| 1750309365 | Rhodora Estacio Kim | Pediatrics | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2006-07-18 |
| 1508884941 | Elizabeth D Evans | Pediatrics | 18460 Roscoe Blvd, Northridge, CA 91325-4107 | 2006-07-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396346961 | Patricia Yamilet Morales | Registered Nurse | 18300 Roscoe Blvd Dignity Health- Northridge Hospital M, Northridge, CA 91325 | 2020-11-02 |
| 1790342897 | Northridge Kidney Center, LLC | Clinic/Center | 17710 Roscoe Blvd, Northridge, CA 91325 | 2019-05-23 |
| 1063078376 | Ozlem Alper | Student in an Organized Health Care Education/Training Program | 18497 Dearborn St, Unit 112, Northridge, CA 91325 | 2019-05-13 |
| 1144883489 | Better Sober | Clinic/Center | 9339 Louse Ave, Northridge, CA 91325 | 2019-04-22 |
| 1902383920 | Ntr Resources, LLC | Pathology | 17433 Nordhoff, Northridge, CA 91325 | 2018-07-23 |
| 1043713969 | Poly-med Pharmacy Inc | Pharmacy | 17313 Roscoe Blvd, Northridge, CA 91325 | 2018-03-16 |
| 1982151940 | Maria Dakessian | Dentist | 18250 Roscoe Blvd Ste 345, Northridge, CA 91325 | 2016-09-07 |
| 1487019469 | Beshoy Gerges | Pharmacist | 8254 White Oak Ave Unit 4, Northridge, CA 91325 | 2015-12-17 |
| 1235520305 | Gema Bautista | Social Worker | 8550 Balboa Blvd Ste 216, Northridge, CA 91325 | 2015-02-11 |
| 1083018873 | Sosann Haider | Pharmacist | 18444 Plummer St., Northridge, CA 91325 | 2014-10-22 |
| Find all providers in zip 91325 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356963417 | Atalla Medical Group | Family Medicine | 9839 Belmar Ave, Northridge, CA 91324-1655 | 2020-05-12 |
| 1093163222 | Rahul Ahuja | Family Medicine | 18406 Roscoe Blvd Fl 3, Northridge, CA 91325-4107 | 2016-05-27 |
| 1831539485 | Anvar Medical Group | Family Medicine | 9335 Reseda Blvd Ste 100, Northridge, CA 91324 | 2013-06-27 |
| 1851663744 | Maryam Seddigh Tonekaboni | Family Medicine | 18350 Roscoe Blvd Ste 307, Northridge, CA 91325-4159 | 2012-02-07 |
| 1861761579 | Jerome Kornfeld | Family Medicine | 9800 Melvin Ave, Northridge, CA 91324-1635 | 2011-12-26 |
| 1104106913 | George H. Moreland | Family Medicine | 9816 Bothwell Rd, Northridge, CA 91324-1613 | 2011-08-24 |
| 1437474657 | Family Health & Wellness Center | Family Medicine | 18433 Roscoe Blvd Ste 102, Northridge, CA 91325-4125 | 2010-03-30 |
| 1780912683 | James Donald Thomas | Family Medicine | 9900 Balboa Blvd Ste E, Northridge, CA 91325-5419 | 2009-12-03 |
| 1164655239 | Vernon Reginald Chan | Family Medicine | 17338 Citronia St, Northridge, CA 91325-2013 | 2009-08-24 |
| 1174710164 | Jacqueline Masequesmay | Family Medicine | 18350 Roscoe Blvd Ste 600, Northridge, CA 91325-4187 | 2007-10-03 |
| Find all providers in NORTHRIDGE | ||||
| City | NORTHRIDGE |
| Zip Code | 91325 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.