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MONICA LARA CORDOBA DMD
NPI 1154547966
Dentist - Periodontics in San Francisco, CA

Active since April 18, 2007PECOS Enrolled
490 POST ST STE 426, SAN FRANCISCO, CA 94102(415) 362-2402(415) 362-4134 Get Directions Write a Review

NPPES record last updated: December 15, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Monica Lara Cordoba Dmd NPPES

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

MONICA LARA CORDOBA DMD (NPI 1154547966) is an individual periodontics provider in San Francisco, California, licensed in California (56928) and active in the NPI registry since April 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1154547966
Entity TypeIndividualFemale
Primary Taxonomy1223P0300X
Provider Legal NameMONICA LARA CORDOBACredential: DMD
Location Address490 POST ST STE 426San Francisco, CA 94102-1411
Mailing Address490 Post St Ste 426San Francisco, CA 94102-1411 · (415) 362-2402 · Fax (415) 362-4134
Phone(415) 362-2402
Fax(415) 362-4134
Sole ProprietorYes
Enumeration DateApril 18, 2007
Last NPPES UpdateDecember 15, 2015
✔ NPI 1154547966 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 56928
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
490 POST ST STE 426, San Francisco, CA 94102
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Monica Lara Cordoba Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94102 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$104.51 typical visit price
range $69.00 – $202.35
Typical copayment $26.12 (range $17.25 – $50.58)
Most-billed visit code 99203
Established Patient
$84.91 typical visit price
range $23.44 – $166.46
Typical copayment $21.22 (range $5.86 – $41.61)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Monica Lara Cordoba's NPI number?

The NPI number for Monica Lara Cordoba is 1154547966. It was assigned to this individual provider in the NPPES registry on April 18, 2007.

Where is Monica Lara Cordoba located?

Monica Lara Cordoba practices at 490 Post St Ste 426, San Francisco, CA 94102. The listed phone number is (415) 362-2402.

What is Monica Lara Cordoba's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

Is Monica Lara Cordoba enrolled in Medicare?

Yes. Monica Lara Cordoba is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Monica Lara Cordoba was last updated on December 15, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.