MICHELLE CORINA CORDOVA (PA) – Medical Physician Assistant, NPI 1467596676
Medical Physician Assistant
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
10,570 PHYSICIAN ASSISTANT in CA
Provider Addresses for MICHELLE CORINA CORDOVA (PA)
1400 E. CHURCH STREET
ATTENTION- MEDICAL STAFF OFFICE
SANTA MARIA, CA 93454
Phone: (805) 739-3954
Type: Mailing
1551 BISHOP ST STE 230
SAN LUIS OBISPO, CA 934014661
Phone: (805) 434-5530
Fax: (805) 434-0023
Type: Mailing
850 Fair Oaks Ave Ste 220
Arroyo Grande, CA 934203929
Phone: (805) 434-5530
Fax: (805) 786-4220
Type: Location
350 Posada Ln Ste 202
Templeton, CA 934654060
Phone: (805) 434-5497
Fax: (805) 434-0917
Type: Location
1414 E MAIN ST STE 201
SANTA MARIA, CA 934544890
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
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: 2004-09-20
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20040920000539 | I | Physician Assistant | CA | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 45 | 42 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 39 | 38 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 11 | 11 | $0 |
Insurance plans in this area (ZIP 93454)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA | |
| - | CA | |
| - | CA | |
| - | CA | |
| General Surgery | CA |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.