Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cora Ridenour

Individual provider Medical Physician Assistant · NPI 1750168076

Cora Ridenour is a Physician Assistant in San Diego, California. Qualified in 2023, 3 years ago. Practices with Gastroenterology Associates of Beverly Hills, a 5-clinician group, works from 5 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2023
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Practice location Address checks out

200 W Arbor Dr
San Diego, CA 92103-9000
Phone: (800) 926-8273
Fax: (888) 539-8781
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 9350 Campus Point Dr Ste 2c, La Jolla, CA 92037-1300 — (800) 926-8273
  • 8631 W 3rd St # 815e, Los Angeles, CA 90048-5901 — (310) 858-2224
  • 4250 1st Ave, San Diego, CA 92103-2026 — (800) 926-8273
  • 4303 La Jolla Village Dr Ste 2110, San Diego, CA 92122-1396 — (800) 926-8273

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence 63295 (CA)

Record details

NPI number1750168076
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 11, 2023
Last updated in NPPESJune 25, 2026
Certification dateJune 25, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Gastroenterology Associates Of Beverly Hills — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego