Calvin Cordero
Technician, Personal Care Attendant in Las Vegas, NV. Individual provider (NPI-1).
NPI number1649032004
StatusActive
Last updated in NPPESJan 30, 2024
Details
- NPI
- 1649032004
- Entity type
- Individual (NPI-1)
- Name
- Calvin Cordero
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 30, 2024
- Certification date
- Jan 30, 2024
- Last updated
- Jan 30, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 3747P1801X | Technician, Personal Care Attendant | – | – | Yes |
Practice location
4245 S Grand Canyon Dr Ste 226Las Vegas, NV 89147-7162
Phone 702-751-0356
Mailing address
4245 S Grand Canyon Dr Ste 226Las Vegas, NV 89147-7162
Phone 702-751-0356
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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