Cook Upper Cervical Chiropractic, Apc

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

COOK UPPER CERVICAL CHIROPRACTIC, APC

Practice address

409 Camino del Rio S Ste 105
San Diego, CA 92108-3505

Phone

(858) 577-0662

NPI assigned

Feb 22, 2020

Organization subpart

No

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

Authorized official

Name

Mercedes Cook, DCNPI 1922504745

Title

President

Phone

(937) 726-2798

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Mercedes Alexis Cook, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1922504745
  Medicare reassignment NPD Authorized official
• Denicio Gonzalez-Drake, DC

  • Chiropractor
  • San Diego, CA
  • NPI 1023733722
  NPD
• Jessica Lee, D.C.

  • Chiropractor
  • San Diego, CA
  • NPI 1306107297
  NPD
• Cecilia Yuri Park

  • Chiropractor
  • Los Angeles, CA
  • NPI 1578065975
  NPD (past)

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

{
    "created_epoch": "1582329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582329600000",
    "number": "1164056792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 CAMINO DEL RIO S STE 105",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921083505",
            "telephone_number": "858-577-0662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COOK UPPER CERVICAL CHIROPRACTIC, APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-22",
        "last_updated": "2020-02-22",
        "certification_date": "2020-02-22",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "MERCEDES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-726-2798",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natalie G Conway, LCSW
• Rachel Conway, PSY.D.
• Samantha Lyon Conway, LMFT#121653
• Shawna Marie Conway, BCBA
• Karli Conzo, PT, DPT
• Aaron Tanner Cook, L.AC.
• Amanda Michelle Cook
• Andrea Patreece Cook, APRN, PMHNP-BC
• Arielle Tagulao Cook, OTR/L
• Bradley Colin Cook, RN

• Clinic/Center in San Diego, CA
• Providers in San Diego, CA by specialty
• Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.