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AGNES CLAUDINE CECILE HENRY-CODORNIZ M.D.
NPI 1285957241
Family Medicine in Riverside, CA

Active since March 05, 2010PECOS Enrolled
4530 LANDEEN CT, RIVERSIDE, CA 92505(909) 499-7381 Get Directions Write a Review

NPPES record last updated: November 3, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Agnes Claudine Cecile Henry-codorniz M.d. NPPES

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

AGNES CLAUDINE CECILE HENRY-CODORNIZ M.D. (NPI 1285957241) is an individual family medicine provider in Riverside, California, licensed in California (A107532) and active in the NPI registry since March 2010. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1285957241
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAGNES CLAUDINE CECILE HENRY-CODORNIZCredential: M.D.
Location Address4530 LANDEEN CTRiverside, CA 92505-5107
Mailing Address4530 Landeen CtRiverside, CA 92505-5107
Phone(909) 499-7381
Sole ProprietorYes
Enumeration DateMarch 5, 2010
Last NPPES UpdateNovember 3, 2021
NPPES CertifiedNovember 3, 2021
✔ NPI 1285957241 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · A107532
Definition
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.
4530 LANDEEN CT, Riverside, CA 92505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Agnes Claudine Cecile Henry-codorniz M.d. 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.

Medicare Billing Reassignment

Medicare enrollment records show Agnes Henry-codorniz reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
1.3 mi
Health Maintenance Organization
10800 MAGNOLIA AVE
Riverside, CA 92505
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1316979834 (866) 984-7483

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92505 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
Most-billed visit code 99214
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 Agnes Henry-codorniz's NPI number?

The NPI number for Agnes Henry-codorniz is 1285957241. It was assigned to this individual provider in the NPPES registry on March 5, 2010.

Where is Agnes Henry-codorniz located?

Agnes Henry-codorniz practices at 4530 Landeen Ct, Riverside, CA 92505. The listed phone number is (909) 499-7381.

What is Agnes Henry-codorniz's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Agnes Henry-codorniz enrolled in Medicare?

Yes. Agnes Henry-codorniz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Agnes Henry-codorniz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Agnes Henry-codorniz reassigns Medicare benefits to Southern California Permanente Medical Group (Riverside, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Agnes Henry-codorniz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Agnes Henry-codorniz was last updated on November 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.