Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Individual
DR. TRACY LEIGH CORDRAY
Active
Individual
DR. TRACY LEIGH CORDRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
A79618
CA
2086S0122X
Plastic and Reconstructive Surgery Physician
Primary
22185
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1346432614
INDIVIDUAL NPI
SC
05
—
30236309
—
SC
01
—
813653106
TAX ID
SC
01
—
SC5037G677
MEDICARE PTAN
SC
Enumeration date
08/10/2007
Last updated
10/13/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up