FAUSTO SANTIAGO CORDERO (MD) – Family Medicine Physician, NPI 1124052477

FAUSTO SANTIAGO CORDERO (MD) is a healthcare provider. based in Mission hills, California. specializing in FAMILY PRACTICE. They hold the professional credentials MD. They hold a License No. G60861 (CA). The NPI Number for FAUSTO SANTIAGO CORDERO (MD) is 1124052477

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
FAUSTO SANTIAGO CORDERO (MD)
NPI
1124052477
Phone
(818) 837-5691
Address
PO BOX 9602
Enumeration Date
11 July 2006
Last Update Date
3 April 2014

Doctor Profile

Medical School Name
UNIVERSITY OF CALIFORNIA, DAVIS SCHOOL OF MEDICINE
Secondary Phone
8187435700
Graduation Year
1985 (41 years ago)
PAC ID
6901989185
Group Practice PAC ID
3173436276
Professional Enrollment ID
I20080211000760
Address ID
CA913242402NO9111XAVEX300
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

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Provider Addresses for FAUSTO SANTIAGO CORDERO (MD)

  • Mission, Kiara Hills, Kuala Lumpur, 60000, Malaysia

    MISSION HILLS, CA 913469602

    Phone: (818) 837-5691

    Fax: (818) 792-4793

    Type: Mailing

  • Northridge Hospital Medical Center, 18300, Roscoe Boulevard, Reseda, Los Angeles, Los Angeles County, California, 91328, United States

    NORTHRIDGE, CA 913254107

    Phone: (818) 734-3610

    Fax: (818) 734-3694

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-10-19 • Largest payer in this snapshot: Boston Scientific Corporation ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2008-02-11

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080211000760IFamily PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes18493$0
36415Insertion of needle into vein for collection of blood sample13172$0
99213Established patient office or other outpatient visit, 20-29 minutes3530$0
G0008Administration of influenza virus vaccine1919$0
71046X-ray of chest, 2 views1817$0
View full utilization report →

Insurance plans in this area (ZIP 91346)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173436276View full group profile

Reviews

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Frequently asked questions

What number should I use to identify FAUSTO SANTIAGO CORDERO (MD) for billing?
Administrative and clinical systems typically use NPI 1124052477 for FAUSTO SANTIAGO CORDERO (MD).
Does the public listing show FAUSTO SANTIAGO CORDERO (MD) as active?
FAUSTO SANTIAGO CORDERO (MD)'s NPI record reflects an active status in NPPES.
How should patients interpret FAUSTO SANTIAGO CORDERO (MD)'s specialty?
The extract shows Family Medicine Physician for FAUSTO SANTIAGO CORDERO (MD). Clinical services aligned with this taxonomy classification.
Is FAUSTO SANTIAGO CORDERO (MD) tied to Mission Hills, California?
If you are local to Mission Hills, California, FAUSTO SANTIAGO CORDERO (MD) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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