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Jose Cardenas, MD

Emergency Medicine · Salinas

NPI 1790272847

Medicare standing
Clear
Enrolled, allowed to bill and order, not excluded
Plans that list them
Not verified
Not the same as out of network.
Offices
2

Offices

2 locations · Cep America - California · Emergency Physicians Associates San Jose PC

Looking this up.

Hospitals listed: Santa Clara Valley Medical Center. That is not proof they admit you there this week.

Plan participation

Not verified

We could not verify current plan participation for this doctor. This does not mean they are out of network. Call Dr. Cardenas’s office to ask if they take your plan before you enroll.

California Medical Board record

Licence A167034 · Current

Licensed to practise in California · since 2019 · expires 2027-12-31 · Michigan State University College of Human Medicine.

No disciplinary actions, convictions, malpractice judgments or citations in this record.

Hospitals they work in

1 hospital

These rate the hospital, not this clinician. Most measures at most hospitals are no different from the national rate.

  • Santa Clara Valley Medical CenterSan Jose, CAAcute Care Hospital · Government - Local · Has an emergency department · Birthing-friendlyPart of Santa Clara Valley Health and Hospital System, which runs 3 hospitalsPatients rate it 3 of 5 · 70% would definitely recommend it
    Overall rating: 2 of 5 starsWorse than the national rate — SSI - Colon Surgery: 2.572, Oct 2024 – Sep 2025Better than the national rate — Central Line Associated Bloodstream Infection (ICU + select Wards): 0.563, Oct 2024 – Sep 2025Better than the national rate — Clostridium Difficile (C.Diff): 0.256, Oct 2024 – Sep 2025Better than the national rate — MRSA Bacteremia: 0.369, Oct 2024 – Sep 2025
See every measure and the patient survey for Santa Clara Valley Medical Center

Behind the star rating — Deaths: 2 better, 6 the same, 0 worse of 8 measures. Safety: 2 better, 5 the same, 1 worse of 8 measures. Readmissions: 0 better, 10 the same, 1 worse of 11 measures. The star rating is worked out from an earlier period than the measures below, so the two can disagree.

Every scored measure at Santa Clara Valley Medical Center
SSI - Colon SurgeryInfections2.572WorseOct 2024 – Sep 2025
Central Line Associated Bloodstream Infection (ICU + select Wards)Infections0.563BetterOct 2024 – Sep 2025
Clostridium Difficile (C.Diff)Infections0.256BetterOct 2024 – Sep 2025
MRSA BacteremiaInfections0.369BetterOct 2024 – Sep 2025
Abdominopelvic accidental puncture or laceration rateComplications and deaths1.25 (0.3 to 2.2) · 1,535 casesNo differentJul 2022 – Jun 2024
CMS Medicare PSI 90: Patient safety and adverse events compositeComplications and deaths1.07 (0.76 to 1.38)No differentJul 2022 – Jun 2024
Death rate among surgical inpatients with serious treatable complicationsComplications and deaths214.59 (167.38 to 261.8) · 108 casesNo differentJul 2022 – Jun 2024
Death rate for CABG surgery patientsComplications and deaths2.8 · 41 casesNoneJul 2022 – Jun 2025
Death rate for COPD patientsComplications and deaths6 · 141 casesNoneJul 2022 – Jun 2025
Death rate for heart attack patientsComplications and deaths10.2 · 124 casesNoneJul 2022 – Jun 2025
Death rate for heart failure patientsComplications and deaths8.3 · 501 casesNoneJul 2022 – Jun 2025
Death rate for pneumonia patientsComplications and deaths14.9 · 653 casesNoneJul 2022 – Jun 2025
Death rate for stroke patientsComplications and deaths10.1 · 348 casesNoneJul 2023 – Jun 2025
Hybrid Hospital-Wide All-Cause Risk Standardized Mortality RateComplications and deaths3 · 4,502 casesNoneJul 2024 – Jun 2025
Iatrogenic pneumothorax rateComplications and deaths0.24 (0.04 to 0.43) · 9,014 casesNo differentJul 2022 – Jun 2024
In-hospital fall-associated fracture rateComplications and deaths0.34 (0.15 to 0.52) · 9,216 casesNo differentJul 2022 – Jun 2024
Perioperative pulmonary embolism or deep vein thrombosis rateComplications and deaths4.54 (2.51 to 6.58) · 1,421 casesNo differentJul 2022 – Jun 2024
Postoperative acute kidney injury requiring dialysis rateComplications and deaths1.54 (0 to 3.2) · 288 casesNo differentJul 2022 – Jun 2024
Postoperative hemorrhage or hematoma rateComplications and deaths2.11 (0.66 to 3.56) · 1,446 casesNo differentJul 2022 – Jun 2024
Postoperative respiratory failure rateComplications and deaths11.61 (4.09 to 19.14) · 294 casesNo differentJul 2022 – Jun 2024
Postoperative sepsis rateComplications and deaths7.29 (3.39 to 11.2) · 299 casesNo differentJul 2022 – Jun 2024
Postoperative wound dehiscence rateComplications and deaths1.9 (0.45 to 3.36) · 333 casesNo differentJul 2022 – Jun 2024
Pressure ulcer rateComplications and deaths0.23 (0 to 0.78) · 7,538 casesNo differentJul 2022 – Jun 2024
Rate of complications for hip/knee replacement patientsComplications and deaths5.4 · 94 casesNoneApr 2023 – Mar 2025
Catheter Associated Urinary Tract Infections (ICU + select Wards)Infections0.735No differentOct 2024 – Sep 2025
SSI - Abdominal HysterectomyInfections2.573No differentOct 2024 – Sep 2025
Acute Myocardial Infarction (AMI) 30-Day Readmission RateUnplanned return visits14.6 · 185 casesNoneJul 2023 – Jun 2025
Heart failure (HF) 30-Day Readmission RateUnplanned return visits22.1 · 951 casesNoneJul 2023 – Jun 2025
Hospital return days for heart attack patientsUnplanned return visits56.3 · 128 casesNoneJul 2022 – Jun 2025
Hospital return days for heart failure patientsUnplanned return visits6.4 · 644 casesNoneJul 2022 – Jun 2025
Hospital return days for pneumonia patientsUnplanned return visits1.3 · 699 casesNoneJul 2022 – Jun 2025
Pneumonia (PN) 30-Day Readmission RateUnplanned return visits16.3 · 921 casesNoneJul 2023 – Jun 2025
Rate of emergency department (ED) visits for patients receiving outpatient chemotherapyUnplanned return visits5.7 (3.9 to 8.1) · 226 casesNo differentJan 2024 – Dec 2024
Rate of inpatient admissions for patients receiving outpatient chemotherapyUnplanned return visits12.6 (9.4 to 16.5) · 226 casesNo differentJan 2024 – Dec 2024
Rate of readmission after hip/knee replacementUnplanned return visits5.4 · 94 casesNoneJul 2023 – Jun 2025
Rate of readmission for CABGUnplanned return visits11.4 · 54 casesNoneJul 2023 – Jun 2025
Rate of readmission for chronic obstructive pulmonary disease (COPD) patientsUnplanned return visits20.3 · 242 casesNoneJul 2023 – Jun 2025
Rate of unplanned hospital visits after colonoscopy (per 1,000 colonoscopies)Unplanned return visits13.2 (9.9 to 17.4) · 702 casesNo differentJan 2022 – Dec 2024
Ratio of unplanned hospital visits after hospital outpatient surgeryUnplanned return visits1 (0.7 to 1.4) · 195 casesNo differentJan 2024 – Dec 2024

What patients said (4,032 patients answered, 29% of those asked)

Patient survey stars by topic at Santa Clara Valley Medical Center
Cleanliness3
Nurse communication3
Doctor communication3
Communication about medicines3
Discharge information2
Overall hospital rating3
Quietness2
Recommend hospital4
Share of patients giving the best answer at Santa Clara Valley Medical Center
Room was "always" clean70%
Nurses "always" communicated well73%
Doctors "always" communicated well76%
Staff "always" explained57%
Yes, staff "did" give patients this information82%
Yes, staff "did" give patients information about help after discharge82%
Doctors "always" explained things so they could understand71%
Doctors "always" listened carefully74%
Doctors "always" treated them with courtesy and respect82%
Patients who gave a rating of "9" or "10" (high)67%
Staff "always" explained new medications71%
Nurses "always" explained things so they could understand71%
Nurses "always" listened carefully69%
Nurses "always" treated them with courtesy and respect80%
"Always" quiet at night43%
"YES", patients would definitely recommend the hospital70%
Staff "always" explained possible side effects44%
Yes, staff "did" give patients information about possible symptoms83%

Original Medicare doctor bills

$44,929

Medicare paid this office $44,929 for 298 people.

This is what Medicare paid the clinician — not Medicare Advantage, and not the pharmacy.

Largest Original Medicare bills
Emergency department visit with high level of medical decision making152$22,511$142
Critical care, first 30-74 minutes67$13,032$195
Emergency department visit with moderate level of medical decision making32$3,252$99
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only151$1,183$7
Ultrasound of heart, follow-up17$402$24
See all 7 services
Every Original Medicare service billed
Emergency department visit with high level of medical decision making152$22,511$142
Critical care, first 30-74 minutes67$13,032$195
Emergency department visit with moderate level of medical decision making32$3,252$99
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only151$1,183$7
Ultrasound of heart, follow-up17$402$24
Limited ultrasound scan of abdomen15$396$26
Ultrasound scan of chest15$365$24

Who their Medicare patients are

298 Original Medicare patients in 2024. Average age 72 · Under 65 19% · 85 and older 16% · Women 44% · Also on Medicaid 83% · Health risk score 2.46. Above the middle of the specialty; the typical emergency medicine clinician is at 2.01.

Conditions among them: High blood pressure 75% · Diabetes 52% · Chronic kidney disease 38% · Coronary heart disease 35% · Heart failure 31% · Depression 30% · Atrial fibrillation 26% · COPD 22% · Dementia 21% · Stroke 19% · Cancer 16%.

The office billed $358,845, Medicare allowed $60,202 and paid $44,929; for 514 services of 27 kinds.

Original Medicare patients only. A risk score of 1.0 is the average Medicare patient; higher means sicker. Any count under 11 is hidden.

Year by year

Original Medicare by year
2024298514722.46$358,845$44,929
2023254311711.98$306,156$37,257
2022301357712.07$353,230$49,229
2021111129672.52$120,238$16,820

Original Medicare only. A service billed for fewer than 11 people in a year is hidden, so the lines can add up to less than the year's total.

See the services billed each year

2023: 4 services

Original Medicare services billed in 2023
Emergency department visit with high level of medical decision making134$20,144$145
Critical care, first 30-74 minutes43$7,991$186
Emergency department visit with moderate level of medical decision making65$6,358$95
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only24$175$7

2022: 4 services

Original Medicare services billed in 2022
Emergency department visit with high level of medical decision making161$28,299$169
Emergency department visit with moderate level of medical decision making83$9,189$108
Critical care, first 30-74 minutes35$7,592$217
Emergency department visit with low level of medical decision making25$1,473$55

2021: 2 services

Original Medicare services billed in 2021
Emergency department visit with high level of medical decision making71$11,884$163
Emergency department visit with moderate level of medical decision making29$2,976$103

Medicaid work

$71,331 in 2024

Medicaid paid $71,331 for 2,093 billed services this clinician did in 2024, up to 67 people in a month for one service.

Medicaid and CHIP claims where this clinician did the service, fee-for-service and managed care together. Any month with fewer than 11 patients is hidden, so small Medicaid practices undercount.

Largest Medicaid services in 2024
EMERGENCY DEPARTMENT VISIT HIGH MDM623$29,720
EMERGENCY DEPT VISIT MOD MDM556$25,624
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes135$8,006
Service93$3,512
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only450$2,056
EMERGENCY DEPT VISIT LOW MDM39$820
New patient visit (45+ min)24$663
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count54$439
Long return visit (40+ min)13$259
Service93$138
Return visit (30+ min)13$93
Medicaid work by year
20242,0931167$71,331
20234,18821158$298,213
20225,63722154$347,554
20211,44021107$87,073
202074232$2,415
See the largest Medicaid services in earlier years

2023

Largest Medicaid services in 2023
EMERGENCY DEPT VISIT MOD MDM1,404$143,136
EMERGENCY DEPARTMENT VISIT HIGH MDM791$98,313
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP259$14,825
Service274$10,018
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug120$8,938
Critical care, evaluation and management of the critically ill or critically injured patient; first 30-74 minutes42$7,774
EMERGENCY DEPT VISIT LOW MDM48$3,325
Service183$2,506
COMPREHENSIVE METABOLIC PANEL203$2,346
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)47$1,971
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count216$1,866
Electrocardiogram, routine ECG with at least 12 leads; interpretation and report only131$541

2022

Largest Medicaid services in 2022
EMERGENCY DEPT VISIT LOW MDM1,428$102,344
EMERGENCY DEPT VISIT MOD MDM776$87,037
EMERGENCY DEPARTMENT VISIT HIGH MDM570$86,533
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP431$22,228
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug213$14,882
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique64$8,923
Service210$7,685
COMPREHENSIVE METABOLIC PANEL321$3,144
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)52$2,599
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count327$2,367
Electrocardiogram, routine ECG with at least 12 leads; tracing only, without interpretation and report81$2,070
2019-ncov coronavirus, sars-cov-2/2019-ncov (covid-19), any technique, multiple types or subtypes (includes all targets), non-cdc51$1,966

2021

Largest Medicaid services in 2021
EMERGENCY DEPARTMENT VISIT HIGH MDM246$28,896
EMERGENCY DEPT VISIT LOW MDM379$22,434
EMERGENCY DEPT VISIT MOD MDM262$21,156
Service107$3,974
Infectious agent detection by nucleic acid (DNA or RNA); severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) (coronavirus disease [COVID-19]), influenza virus types A and B, and respiratory syncytial virus, multiplex amplified probe technique20$2,750
EMERGENCY DEPARTMENT VISIT MAY NOT REQ PHYS/QHP48$2,669
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); intravenous push, single or initial substance/drug26$1,857
Service62$1,002
Therapeutic, prophylactic, or diagnostic injection (specify substance or drug); each additional sequential intravenous push of a new substance/drug (List separately in addition to code for primary procedure)17$794
COMPREHENSIVE METABOLIC PANEL40$378
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count44$327
Miscellaneous therapeutic items and supplies, retail purchases, not otherwise classified; identify product in "remarks"44$142

2020

Largest Medicaid services in 2020
Service62$2,316
Blood count; complete (CBC), automated (Hgb, Hct, RBC, WBC and platelet count) and automated differential WBC count12$99

Drugs they prescribed that Part D paid

$1,607

Pharmacies billed $1,607 in 2024.

This is pharmacy cost, not the office bill, and not what patients paid.

120 generic and 11 brand-name prescriptions · $1,607 in drug cost · 45 antibiotic prescriptions to 39 people.

Part D prescriptions only. The opioid rate is opioid prescriptions as a share of all this clinician's Part D prescriptions; surgeons and pain specialists run higher than others, so it is shown against the same specialty.

Largest Part D drug costs
Cephalexin14$59$4

Year by year

Part D prescribing by year
202413186None8%$1,607
202311788NoneNone$1,504
202212183NoneNone$1,550
20211179014% (16)None$2,643
202010577NoneNone$1,699
201964470% (0)None$1,690

Part D prescriptions only. A drug prescribed to fewer than 11 people in a year is hidden.

See the drugs prescribed each year

2023: 1 drug

Part D drugs prescribed in 2023
Cephalexin14$222$16

2022: 1 drug

Part D drugs prescribed in 2022
Cephalexin14$92$7

2021: 2 drugs

Part D drugs prescribed in 2021
Cephalexin19$129$7
Hydrocodone-Acetaminophen12$42$4

2020: 2 drugs

Part D drugs prescribed in 2020
Ibuprofen25$144$6
Cephalexin17$142$8

2019: 2 drugs

Part D drugs prescribed in 2019
Cephalexin11$104$9
Ibuprofen13$68$5

Money from drug and device companies

$11 in 2021

A payment is not proof that care is biased.

Payments by company
Janssen PharmaceuticalsXarelto$11
1 payment
  • Meals for Xarelto · 2021-09-27 · $11
See the published payment
Every published payment
Janssen PharmaceuticalsMeals · 2021-09-27Xarelto$11

Checkups this office reported

Medicare did not publish checkup rates for this clinician.

Medicare’s overall office score
94.6 / 100
Scores the office’s reporting and systems. It is not a grade for how the doctor treats you.

Professional record

NPI
1790272847
Licence
CA A167034California A167034: Current · expires 2027-12-31
Trained
Michigan State University College of Human Medicine, 2018
Group
Cep America - California · Emergency Physicians Associates San Jose PC
Gender
Male
More record details
Sole proprietor
No
Taxonomy
Federal specialty code 207P00000X (207P00000X)
Mailing address
1150 N Indian Canyon Dr, Palm Springs, CA, 92262
NPI first listed
2018-04-15
NPI last updated
2021-08-13
NPI record certified
2021-08-13

This is when the NPI record was last certified, not a medical board exam.