Individual provider Active NPI

Robert V Cocain, DC

  • Chiropractor
  • Ventura, CA
National Provider Identifier
1124217534
Registry record updated Jun 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
DC9841 Issued in CA
Practice address
4247 Telegraph Rd
Ventura, CA 93003-3705
Phone
(805) 644-5563
NPI assigned
Oct 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 18, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X DC9841 CA Primary

Addresses

Primary practice location

4247 Telegraph Rd
Ventura, CA 93003-3705

Mailing address

4247 Telegraph Rd
Ventura, CA 93003-3705
Phone (805) 644-5563

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080505000236 CA Practitioner - Chiropractic 7113006040 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Palmer College Chiropractic - West Sunnyvale, 1962
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4247 Telegraph Rd
Ventura, CA 93003-3705
Phone (805) 644-5563

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9841CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Cocain Chiropractic Corporation Chiropractor CurrentSince Jan 1, 1973 Accepting new patients

Locations

4247 Telegraph Rd
Ventura, CA 93003
Phone (805) 644-5563

Organizations & group practices 1

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": "1193011200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213747200000",
    "number": "1124217534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4247 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033705",
            "telephone_number": "805-644-5563"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 TELEGRAPH RD",
            "city": "VENTURA",
            "state": "CA",
            "postal_code": "930033705",
            "telephone_number": "805-644-5563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCAIN",
        "first_name": "ROBERT",
        "middle_name": "V",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-22",
        "last_updated": "2008-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC9841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ventura, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.