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JENNIFER MARLEN CORDOVI TIRADO
NPI 1902489586
Physician Assistant in Ridgecrest, CA

Active since May 03, 2021PECOS Enrolled
900 N HERITAGE DR, RIDGECREST, CA 93555(760) 446-4571 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 31, 2023, Oct 27, 2023, Nov 5, 2021 and 1 more (4 updates tracked since 2021).

About Jennifer Marlen Cordovi Tirado NPPES

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

JENNIFER MARLEN CORDOVI TIRADO (NPI 1902489586) is an individual physician assistant in Ridgecrest, California, licensed in California (PA63430) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Phenix City.

NPPES Registry Identity

NPI1902489586
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameJENNIFER MARLEN CORDOVI TIRADO
Location Address900 N HERITAGE DRRidgecrest, CA 93555-5536
Mailing Address900 N Heritage DrRidgecrest, CA 93555-5536 · (760) 446-4571
Phone(760) 446-4571
Sole ProprietorNo
Enumeration DateMay 3, 2021
Last NPPES UpdateOctober 31, 20234 updates tracked since enumeration
NPPES CertifiedOctober 31, 2023
✔ NPI 1902489586 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA63430
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
900 N HERITAGE DR, Ridgecrest, CA 93555
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Secondary Practice Location 1

Location 13700 S Railroad St Ste BPhenix City, AL 36867-2994 · Phone (877) 495-7773 · Fax (866) 537-1711

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jennifer Marlen Cordovi Tirado 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 93555 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
$91.09 typical visit price
range $59.26 – $178.09
Typical copayment $22.77 (range $14.81 – $44.52)
Most-billed visit code 99203
Established Patient
$73.67 typical visit price
range $19.34 – $145.64
Typical copayment $18.41 (range $4.83 – $36.41)
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 10

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

ANNE L BRETT D.D.S.
Dentist (General Practice)
900 N HERITAGE DR, SUITE D
RIDGECREST, CA 93555
Kern County (760) 446-9011
PEDIATRIC PARTNERS MEDICAL PROFESSIONAL CORPORATION
Pediatrics (Adolescent Medicine)
900 N HERITAGE DR, BLDG. A
RIDGECREST, CA 93555
Kern County (951) 252-8588
MRS. ANDREA VIRINDA TONASUT MILLET NP
Nurse Practitioner
900 N HERITAGE DR, SUITE B
RIDGECREST, CA 93555
Kern County (760) 371-9160
LORNA S OFFUTT D.D.S.
Dentist
900 N HERITAGE DR
RIDGECREST, CA 93555
Kern County (760) 446-9011
ALAN COSMO HAUN PA-C
Physician Assistant
900 N HERITAGE DR
RIDGECREST, CA 93555
Kern County (760) 446-4571
DR. YURY FAYNER MD
Radiology (Diagnostic Radiology)
900 N HERITAGE DR, B
RIDGECREST, CA 93555
Kern County (760) 446-1999
DOUGLAS E ROBERTS JR MD A PROFESSIONAL CORPORATION
Internal Medicine
900 N HERITAGE DR, BLDG E
RIDGECREST, CA 93555
Kern County (760) 446-4571
DR. DOUGLAS E. ROBERTS JR. M.D.
Internal Medicine
900 N HERITAGE DR, BLDG E
RIDGECREST, CA 93555
Kern County (760) 446-4571

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 Jennifer Cordovi Tirado's NPI number?

The NPI number for Jennifer Cordovi Tirado is 1902489586. It was assigned to this individual provider in the NPPES registry on May 3, 2021.

Where is Jennifer Cordovi Tirado located?

Jennifer Cordovi Tirado practices at 900 N Heritage Dr, Ridgecrest, CA 93555. The listed phone number is (760) 446-4571.

What is Jennifer Cordovi Tirado's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jennifer Cordovi Tirado enrolled in Medicare?

Yes. Jennifer Cordovi Tirado is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Jennifer Cordovi Tirado was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.