Charles Cocks

Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Truckee, CA

NPI 1023970456 · NPPES record last updated Nov 24, 2025

Key facts

NPI
1023970456
Entity type
Individual (NPI type 1)
Primary specialty
Student in an Organized Health Care Education/Training Program 390200000X
Practice address
12277 Soaring Way Ste 100
Truckee, CA 96161-3382
Phone
(530) 207-0883
NPI assigned
Nov 24, 2025
Sex
Male
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X CA Yes

Addresses

Primary practice location

12277 Soaring Way Ste 100
Truckee, CA 96161-3382

Mailing address

12030 Donner Pass Rd Ste 1-753
Truckee, CA 96161-0449
Phone (530) 386-5414

Other providers in Truckee, CA

All providers in Truckee, CA · Student in an Organized Health Care Education/Training Program in California

Sources for this page

Verify at the official NPI Registry.