Individual provider Active NPI

Andrew Hinman Hooper, MD

  • Family Medicine Physician
  • Arcata, CA
National Provider Identifier
1053404525
Registry record updated Feb 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G59811 Issued in CA
Practice address
770 10TH St
Arcata, CA 95521-6210
Phone
(707) 826-8610
Fax
(707) 826-8623
NPI assigned
Oct 2, 2006
Last updated
Feb 5, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G59811 CA Primary

Addresses

Primary practice location

770 10TH St
Arcata, CA 95521-6210

Mailing address

1800 27TH St
Arcata, CA 95521-5006
Phone (707) 826-7846

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050527000420 CA Practitioner - Family PracticePractitioner - Emergency Medicine 9436191640 Reassigns benefits to 4 organizations
Practice locations: Arcata, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G59811CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wahidullah Medical Corporation CurrentSince Jan 6, 2015 Accepting new patients
North Pacific Cardiology Medical CurrentSince Jul 7, 2010 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers CurrentSince Jun 3, 2020 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
American Hospital Management Corporation CurrentSince Dec 1, 2018 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
American Hospital Management Corporation CurrentSince Dec 1, 2018 Accepting new patients
Open Door Community Health Centers Current Accepting new patients
Open Door Community Health Centers CurrentSince Jun 3, 2020 Accepting new patients
Humboldt Family Medical Care Past Accepting new patients
Northcoast Neurosurgical Associates a Medical Corporation Past Accepting new patients

Locations

1275 8th St
Arcata, CA 95521

3770 Janes Rd
Arcata, CA 95521
Phone (707) 822-2404

3798 Janes Rd
Arcata, CA 95521
Phone (707) 443-8335

3798 Janes Rd
Ste 14
Arcata, CA 95521
Phone (707) 822-3621

3798 Janes Rd
Ste 20
Arcata, CA 95521
Phone (707) 822-4894

3800 Janes Rd
Arcata, CA 95521
Phone (707) 822-3621

770 10th St
Arcata, CA 95521
Phone (707) 826-8610

785 18th St
Arcata, CA 95521
Phone (707) 822-2481

550 E Washington Blvd
Crescent City, CA 95531
Phone (707) 465-6925

2200 Tydd St
Eureka, CA 95501
Phone (707) 441-1624

2440 23rd St
Eureka, CA 95501
Phone (707) 298-2011

3750 Rohnerville Rd
Fortuna, CA 95540
Phone (707) 725-4477

1644 Central Ave
McKinleyville, CA 95519
Phone (707) 839-3068

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580860800000",
    "number": "1053404525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 27TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955215006",
            "telephone_number": "707-826-7846",
            "fax_number": "707-826-7845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 10TH ST",
            "city": "ARCATA",
            "state": "CA",
            "postal_code": "955216210",
            "telephone_number": "707-826-8610",
            "fax_number": "707-826-8623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOPER",
        "first_name": "ANDREW",
        "middle_name": "HINMAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-02",
        "last_updated": "2020-02-05",
        "certification_date": "2020-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G59811",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Arcata, CA

Sources for this page

Verify at the official NPI Registry.