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HENRY JOSEPH MENDOZA CORDOVA LCSW
NPI 1720721939
Social Worker - Clinical in Vista, CA

Active since April 15, 2022PECOS Enrolled
780 SHADOWRIDGE DR, VISTA, CA 92083(833) 574-2273 Get Directions Write a Review

NPPES record last updated: September 21, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: May 2, 2023, Jul 25, 2022, Apr 15, 2022 (3 updates tracked since 2022).

About Henry Joseph Mendoza Cordova Lcsw NPPES

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

HENRY JOSEPH MENDOZA CORDOVA LCSW (NPI 1720721939) is an individual clinical provider in Vista, California, licensed in California (107659) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720721939
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameHENRY JOSEPH MENDOZA CORDOVACredential: LCSW
Location Address780 SHADOWRIDGE DRVista, CA 92083-7986
Mailing AddressPo Box 732San Marcos, CA 92079-0732
Phone(833) 574-2273
Sole ProprietorYes
Enumeration DateApril 15, 2022
Last NPPES UpdateSeptember 21, 20233 updates tracked since enumeration
NPPES CertifiedMay 2, 2023
✔ NPI 1720721939 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in CA · 107659
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
780 SHADOWRIDGE DR, Vista, CA 92083
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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)

Henry Joseph Mendoza Cordova Lcsw 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 Reassignments

2

Medicare enrollment records show Henry Joseph Cordova reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Southern California Permanente Medical Group
27 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000
Sud Specialty Group - Ca
397 mi
Addiction Medicine
4633 OLD IRONSIDES DR STE 304
Santa Clara, CA 95054
  • Reassigned Medicare billing, California enrollment
  • 1,607 clinicians in this Medicare group
NPI 1972138238 (323) 205-7088

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 92083 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
$0.00 typical visit price
range $62.10 – $184.71
Typical copayment $0.00 (range $15.52 – $46.17)
Most-billed visit code NA
Established Patient
$76.87 typical visit price
range $20.62 – $151.42
Typical copayment $19.21 (range $5.15 – $37.85)
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.

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.

DONNA CHRISTINE GRAY LCSW
Social Worker (Clinical)
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (760) 599-2383
MR. WERNER SPITZFADEN LCSW
Social Worker (Clinical)
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (760) 599-2528
OLIVIA DENISE HUNTSMAN LMFT
Marriage & Family Therapist
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (619) 977-7710
HEATHER ARRINGTON M.A.
Marriage & Family Therapist
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (877) 496-0450
DR. IGA N GRAY MD, PHD
Ophthalmology
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (800) 448-6767
MS. SANDRA LEAH WRIGHT-CAGLE LCSW
Social Worker (Clinical)
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (760) 599-2309
MICHELE BULAND LCSW
Social Worker (Clinical)
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (833) 574-2273
MRS. BARRIE M BRYARS MFT 40243
Preferred Provider Organization
780 SHADOWRIDGE DR
VISTA, CA 92083
San Diego County (760) 599-2367

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 Henry Joseph Cordova's NPI number?

The NPI number for Henry Joseph Cordova is 1720721939. It was assigned to this individual provider in the NPPES registry on April 15, 2022.

Where is Henry Joseph Cordova located?

Henry Joseph Cordova practices at 780 Shadowridge Dr, Vista, CA 92083. The listed phone number is (833) 574-2273.

What is Henry Joseph Cordova's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Henry Joseph Cordova enrolled in Medicare?

Yes. Henry Joseph Cordova is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Henry Joseph Cordova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Joseph Cordova reassigns Medicare benefits to 2 organizations: Southern California Permanente Medical Group (San Diego, CA) and Sud Specialty Group - Ca (Santa Clara, CA). Each 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 Henry Joseph Cordova'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 Henry Joseph Cordova was last updated on September 21, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.