Individual provider Active NPI

John Burley Cotter, MD

  • Ophthalmology Physician
  • Santa Maria, CA
National Provider Identifier
1124021746
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
C39584 Issued in CA
Practice address
525 Plaza Dr Ste 304
Santa Maria, CA 93454-6955
Phone
(805) 987-5300
Fax
(805) 621-7737
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X C39584 CA Primary

Addresses

Primary practice location

525 Plaza Dr Ste 304
Santa Maria, CA 93454-6955

Mailing address

525 Plaza Dr Ste 304
Santa Maria, CA 93454-6955
Phone (805) 987-5300

Other identifiers 2

IdentifierTypeStateIssuer
770418808OtherTAX IDENTIFICATION
C39584OtherCASTATE MEDICAL LICENSE

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
I20070614000743 CA Practitioner - Ophthalmology 2668570656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
University of Kansas School of Med (KC/Wich/Sal), 1972
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Paul J Dougherty M D IncGroup PAC ID 9739171828, 16 clinicians

Practice addresses (Care Compare)

525 Plaza Dr
Suite 304
Santa Maria, CA 93454-6955
Phone (805) 987-5300

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery26

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C39584CAMDOphthalmology Physician
39584CAMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Paul J Dougherty M D Inc Ophthalmology CurrentSince Sep 14, 2024 Accepting new patients
Donald J Digby MD PA Ophthalmology Past Accepting new patients
Southeastern Cataract Laser Center Ophthalmology Past Accepting new patients
Donald J Digby MD PA PastSince Sep 10, 2012 Accepting new patients

Locations

104 Gateway Center Dr
Ste B
Paso Robles, CA 93446
Phone (805) 237-1610

525 Plaza Dr
Ste 304
Santa Maria, CA 93454
Phone (805) 349-7133

2796 Sycamore Dr
Ste 101
Simi Valley, CA 93065
Phone (805) 522-7955

628 California Blvd
Ste E
Sn Luis Obisp, CA 93401
Phone (805) 540-2010

4353 Park Terrace Dr
Ste 150
Westlake Vlg, CA 91361
Phone (805) 695-2462

Interoperability endpoints

  • Direct secure messaging: jcotter@uvpdlv.intellechartdirect.net

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754006400000",
    "number": "1124021746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 PLAZA DR STE 304",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546955",
            "telephone_number": "805-987-5300",
            "fax_number": "805-621-7737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 PLAZA DR STE 304",
            "city": "SANTA MARIA",
            "state": "CA",
            "postal_code": "934546955",
            "telephone_number": "805-987-5300",
            "fax_number": "805-621-7737"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "JOHN",
        "middle_name": "BURLEY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "C39584",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENTIFICATION",
            "identifier": "770418808",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "C39584",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Maria, CA

Sources for this page

Verify at the official NPI Registry.