Individual provider Active NPI

Amber Marie Cobb, RCP, CRT, RRT

  • General Care Certified Respiratory Therapist
  • Canyon Country, CA
National Provider Identifier
1124423488
Registry record updated Oct 29, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Care Certified Respiratory TherapistTaxonomy code 2278G1100X
License
35039 Issued in CA
Practice address
28637 Lakecrest Ave
Canyon Country, CA 91387-1726
Phone
(661) 877-7072
NPI assigned
Oct 29, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Care Certified Respiratory Therapist 2278G1100X 35039 CA Primary

Addresses

Primary practice location

28637 Lakecrest Ave
Canyon Country, CA 91387-1726

Mailing address

28637 Lakecrest Ave
Canyon Country, CA 91387-1726
Phone (661) 877-7072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35039CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1414540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1414540800000",
    "number": "1124423488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28637 LAKECREST AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871726",
            "telephone_number": "661-877-7072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28637 LAKECREST AVE",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871726",
            "telephone_number": "661-877-7072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "AMBER",
        "middle_name": "MARIE",
        "credential": "RCP, CRT, RRT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-29",
        "last_updated": "2014-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2278G1100X",
            "taxonomy_group": "",
            "desc": "Respiratory Therapist, Certified, General Care",
            "state": "CA",
            "license": "35039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2014; 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.