Jack D Cochran

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

207R00000X Issued in CA

Legal business name

JACK D COCHRAN

Practice address

770 Magnolia Ave
Ste 2-C
Corona, CA 92879

Phone

(951) 737-0110

Fax

(951) 737-5944

NPI assigned

Nov 24, 2006

Organization subpart

No

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

Authorized official

Name

Jack Donald Cochran, M.DNPI 1700974938

Title

Owner

Phone

(951) 737-0110

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jack D Cochran, MD

  • Internal Medicine Physician
  • Corona, CA
  • NPI 1700974938
  NPD (past) Authorized official

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

{
    "created_epoch": "1164326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1114093028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "STE 2-C",
            "city": "COEONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-737-0110",
            "fax_number": "951-737-5944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 MAGNOLIA AVE",
            "address_2": "STE 2-C",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "92879",
            "telephone_number": "951-737-0110",
            "fax_number": "951-737-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACK D COCHRAN",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "JACK",
        "authorized_official_middle_name": "DONALD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-737-0110",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "207R00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Stacie F Jablon, MFT
• Alexis Jackson
• Allyson Marie Jackson, R.D.
• Brittany Jackson
• Earl Jackson
• Elena B Jackson, M.D.

• Internal Medicine Physician in Corona, CA
• Providers in Corona, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.