CORDILLERAS
NPI 1033699772
Counselor - Mental Health in Redwood City, CA

Q: What is Cordilleras's NPI number?

The NPI number for Cordilleras is 1033699772. It was assigned to this organization in the NPPES registry on August 21, 2018.

Q: What is Cordilleras's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Q: When was this NPI record last updated?

The NPPES record for Cordilleras was last updated on August 21, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since August 21, 2018CLIA 05D0715109 · Waiver

200 EDMONDS RD, REDWOOD CITY, CA 94062(650) 367-1890 Get Directions Write a Review

NPPES record last updated: August 21, 2018. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Cordilleras NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CORDILLERAS (NPI 1033699772) is a healthcare organization registered as a mental health in Redwood City, California and active in the NPI registry since August 2018. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Marianne B Mendoza, Residential Social Worker, as its authorized official.

NPPES Registry Identity

NPI1033699772

Entity TypeOrganization

Primary Taxonomy101YM0800X

Legal Business NameCORDILLERAS

Location Address200 EDMONDS RDRedwood City, CA 94062-3813

Mailing Address200 Edmonds RdRedwood City, CA 94062-3813 · (650) 367-1890

Phone(650) 367-1890

Organization SubpartYesParent: Telecare Corporation

Authorized OfficialMarianne B MendozaResidential Social Worker · (650) 367-1890

Enumeration DateAugust 21, 2018

✔ NPI 1033699772 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers

Taxonomy Code101YM0800X

200 EDMONDS RD, Redwood City, CA 94062

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D0715109

Cordilleras Mental Health Rehab Cntr · Redwood City, CA

Active · expires Aug 31, 2026

CLIA Number05D0715109

Laboratory TypeSkilled Nursing Facility/Nursing Facility

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorEugene Y. Lee MD

Laboratory Phone(650) 367-1890

Laboratory LocationCordilleras Mental Health Rehab Cntr200 Edmonds Rd, Redwood City, CA 94062

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHELLEY ANN RICHARDS

Counselor (Mental Health)