REYNALDO M. CORDERO, M.D, INC. (NPI# 1154480648) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154480648 |
| Entity Type | Organization |
| Organization Name | REYNALDO M. CORDERO, M.D, INC. |
| Other Organization Name | MEDWORKS MEDICAL CENTER |
| Practice Address |
350 Posada Ln Suite 102 Templeton CA 93465-4059 |
| Mailing Address |
350 Posada Ln #102 Templeton CA 93465-4059 |
| Practice Telephone | 8054343699 |
| Practice Fax Number | 8054345915 |
| Mailing Telephone | 8054343699 |
| Mailing Fax Number | 8054345915 |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2011-04-11 |
| Authorized Official Name | MRS. DEBBIE ROMERO (MANAGER) |
| Authorized Official Telephone | 8054343699 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Medworks Medical Center | Doing Business As Name - Organization |
| Street Address |
350 POSADA LN SUITE 102 |
| City | TEMPLETON |
| State | CA |
| Zip Code | 93465-4059 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497751804 | Newton Birrell Smith | Orthopaedic Surgery | 350 Posada Ln, Ste 201, Templeton, CA 93465-4060 | 2005-06-22 |
| 1992239263 | Troy Mcclanahan | Physical Therapist | 350 Posada Ln, Ste 103, Templeton, CA 93465-4059 | 2017-04-13 |
| 1760843783 | Laboratory Corporation of America | Clinical Medical Laboratory | 350 Posada Ln, Suite 100-a, Templeton, CA 93465-4059 | 2016-03-18 |
| 1336553767 | Pacific Central Coast Health Centers | Clinic/Center | 350 Posada Ln, Suite 202, Templeton, CA 93465-4059 | 2014-06-13 |
| 1144653569 | Kalahan T Slette | Physical Therapist | 350 Posada Ln, Suite 103, Templeton, CA 93465-4059 | 2013-08-21 |
| 1528389020 | Jan Stefan Eperjesi | Obstetrics & Gynecology | 350 Posada Ln, Suite 202, Templeton, CA 93465-4059 | 2010-06-18 |
| 1376772434 | Cortnie M Muniz | Physical Therapist | 350 Posada Ln, 103, Templeton, CA 93465-4059 | 2009-07-10 |
| 1013155878 | Diana Zarate | Physical Therapist | 350 Posada Ln, 103, Templeton, CA 93465-4061 | 2009-01-30 |
| 1568609048 | Michael William Brinkman | Physical Therapist | 350 Posada Ln, Suite 103, Templeton, CA 93465-4059 | 2009-01-20 |
| 1982725081 | Thomas Alfred Weiss | Physician Assistant | 350 Posada Ln, Suite #102, Templeton, CA 93465-4059 | 2007-04-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346773306 | Edward Delos Trino | Nurse Practitioner | 350 Posada Ln # 102, Templeton, CA 93465 | 2017-04-06 |
| 1497102883 | Miriam Castillo | Counselor | 44 Brewer St, Templeton, CA 93465 | 2016-05-16 |
| 1013395821 | Marna Moore-barr | Registered Nurse | 90 Dandelion Ln, Templeton, CA 93465 | 2015-05-12 |
| 1396007308 | Melissa Lee Gaidis | Psychologist | 225 Posada Lane, Suite L, Templeton, CA 93465 | 2012-06-14 |
| 1033418736 | Central Coast Associated Physicians, Inc. | Internal Medicine | 1220 Las Tablas Rd, Suite 1418, Templeton, CA 93465 | 2011-03-21 |
| 1922306281 | Benjamin Ernest Bartel | Counselor | 1827 Orlen Lane, Templeton, CA 93465 | 2011-03-09 |
| 1003116674 | Tiffney Taylor | Internal Medicine | 265 Posada Ln Ste B, Templeton, CA 93465 | 2010-10-28 |
| 1124355342 | Mary Christine Schaff | Nurse Practitioner | 1111 Las Tablas Rd., Ste. M, Templeton, CA 93465 | 2009-11-09 |
| 1417196890 | Liberty Michael Romig | Marriage & Family Therapist | 318 Crocker Street, Templeton, CA 93465 | 2009-02-09 |
| 1427212273 | Linda Kay Shaleen | Social Worker | 212 Main Street Suite 201, Templeton, CA 93465 | 2008-07-10 |
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| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861450348 | Gary M Lucchesi | Emergency Medicine | 105 S Main St Ste 4, Templeton, CA 93465-9601 | 2006-05-03 |
| 1144494642 | Raul Benjamin Easton-carr | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2008-04-15 |
| 1912103284 | Dugald Chisholm IIi | Emergency Medicine | 105 S Main St, Ste 4, Templeton, CA 93465-9601 | 2007-06-25 |
| 1679632178 | Robert James Latta | Emergency Medicine | 350 Posada Ln, Suite 102, Templeton, CA 93465-4059 | 2006-12-08 |
| 1588732259 | Reynaldo Madrid Cordero | Emergency Medicine | 350 Posada Ln, Ste. 102, Templeton, CA 93465-4059 | 2006-12-01 |
| 1073561684 | George P. Lum | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1639127376 | William E Buys | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1659329233 | Gregory John Robertson | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1720036304 | Jason M Redd | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
| 1669420295 | Cinnamon H Redd | Emergency Medicine | 1100 Las Tablas Rd, Templeton, CA 93465-9704 | 2006-05-05 |
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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.