Organization Active NPI

Cocoon Medical Services, Inc.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Fresno, CA
National Provider Identifier
1063169639
Registry record updated Mar 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
Legal business name
COCOON MEDICAL SERVICES, INC.
Practice address
11302 N Via San Toma Dr
Fresno, CA 93730-9740
Phone
(323) 359-4898
NPI assigned
Mar 3, 2022
Last updated
Mar 4, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2022

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

Authorized official

Name
Sherif Abdalla, MDNPI 1750563128
Title
Owner
Phone
(323) 359-4898

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X NU Primary

Addresses

Primary practice location

11302 N Via San Toma Dr
Fresno, CA 93730-9740

Mailing address

11302 N Via San Toma Dr
Fresno, CA 93730-9740
Phone (323) 359-4898

Other identifiers 2

IdentifierTypeStateIssuer
A-101952OtherTXPHYSICAL MEDICINE & REHABILITATION PAIN MEDICINE
FA3880045OtherTXPHYSICAL MEDICINE & REHABILITATION PAIN MEDICINE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1063169639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11302 N VIA SAN TOMA DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937309740",
            "telephone_number": "323-359-4898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11302 N VIA SAN TOMA DR",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937309740",
            "telephone_number": "323-359-4898"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCOON MEDICAL SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "ABDALLA",
        "authorized_official_first_name": "SHERIF",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "323-359-4898",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL MEDICINE & REHABILITATION PAIN MEDICINE",
            "identifier": "A-101952",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL MEDICINE & REHABILITATION PAIN MEDICINE",
            "identifier": "FA3880045",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.