Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

AVERY CORRINE CORDOVA
NPI 1285347948
Licensed Psychiatric Technician in Arroyo Grande, CA

Q: What is Avery Cordova's NPI number?

The NPI number for Avery Cordova is 1285347948. It was assigned to this individual provider in the NPPES registry on December 27, 2022.

Q: What is Avery Cordova's specialty?

The primary specialty registered for this NPI is Licensed Psychiatric Technician with taxonomy code 167G00000X.

Q: When was this NPI record last updated?

The NPPES record for Avery Cordova was last updated on July 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days 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.

Active since December 27, 2022

1350 E GRAND AVE, ARROYO GRANDE, CA 93420(805) 474-2176(805) 473-7060 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jul 21, 2026, Dec 27, 2022 (2 updates tracked since 2022).

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About Avery Corrine Cordova NPPES

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

AVERY CORRINE CORDOVA (NPI 1285347948) is an individual licensed psychiatric technician in Arroyo Grande, California, licensed in California (37349) and active in the NPI registry since December 2022.

NPPES Registry Identity

NPI1285347948

Entity TypeIndividualFemale

Primary Taxonomy167G00000X

Provider Legal NameAVERY CORRINE CORDOVA

Location Address1350 E GRAND AVEArroyo Grande, CA 93420-2422

Mailing Address354 S Halcyon Rd Ste CArroyo Grande, CA 93420-3879 · (805) 473-7060

Phone(805) 474-2176

Fax(805) 473-7060

Sole ProprietorYes

Enumeration DateDecember 27, 2022

Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration

NPPES CertifiedJuly 21, 2026

✔ NPI 1285347948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyLicensed Psychiatric TechnicianNursing Service Providers

Taxonomy Code167G00000X

License✔ Licensed in CA · 37349

Definition

An individual licensed by the state board as a Psychiatric Technician based upon completion of a prescribed course of theory and clinical practice, with two thirds of the clinical practice time focused on mental and developmental disorders. The psychiatric technician practices under the direct supervision of a physician, psychologist, registered nurse or other professional to provide care to patients with mental disorders and developmental disabilities.

1350 E GRAND AVE, Arroyo Grande, CA 93420

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Other Providers at the Same Location NPPES 10

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

EMILY DAI GRANGER

Student in an Organized Health Care Education/Training Program