DANIEL WESLEY CORDOVA MD
NPI 1962267039
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Active since February 19, 2024PECOS Enrolled
885 TIVERTON DRIVE, LOS ANGELES, CA 90095(310) 825-6373 Get Directions Write a Review

NPPES record last updated: February 19, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Daniel Wesley Cordova Md NPPES

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

DANIEL WESLEY CORDOVA MD (NPI 1962267039) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1962267039
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDANIEL WESLEY CORDOVACredential: MD
Location Address885 TIVERTON DRIVELos Angeles, CA 90095-0001
Mailing Address885 Tiverton DriveLos Angeles, CA 90095-0001 · (310) 825-6373
Sole ProprietorYes
Enumeration DateFebruary 19, 2024
NPPES CertifiedFebruary 18, 2024
NPI 1962267039 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

885 TIVERTON DRIVE, Los Angeles, CA 90095

Medicare Participation & PECOS Enrollment Status

Daniel Cordova is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095
Student in an Organized Health Care Education/Training Program
885 TIVERTON DRIVE
LOS ANGELES, CA 90095

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1962267039, enumerated as an "individual" on February 19, 2024.

The provider is located at 885 TIVERTON DRIVE LOS ANGELES, CA 90095 and the phone number is (310) 825-6373.

Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.