Active NPI
Adrian R Cooks
- Rehabilitation Practitioner
- Santa Maria, CA
National Provider Identifier
1184346306
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 425 Mooncrest LN
Santa Maria, CA 93455-3765 - Phone
- (805) 937-5920
- NPI assigned
- Sep 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Manager/Care Coordinator | 171M00000X | |||
| Day Training/Habilitation Specialist | 373H00000X | |||
| Community Health Worker | 172V00000X | |||
| Rehabilitation Practitioner | 225400000X | Primary |
Addresses
Primary practice location
425 Mooncrest LN
Santa Maria, CA 93455-3765
Mailing address
PO Box 2452
Santa Maria, CA 93457-2452
Phone (805) 260-1463
Other practice location 1
4124 Odie Ln
Santa Maria, CA 93455-3109
Phone (805) 937-5475
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hesed Christian Ministries | Current | Accepting new patients | |
| Changing Faces Inc | Counselor | Current | Accepting new patients |
Organizations & group practices 2
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.
-
- Emotionally Disturbed Childrens' Residential Treatment Facility
- Santa Maria, CA
- NPI 1699447466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1759968000000",
"number": "1184346306",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2452",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934572452",
"telephone_number": "805-260-1463"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "425 MOONCREST LN",
"city": "SANTA MARIA",
"state": "CA",
"postal_code": "934553765",
"telephone_number": "805-937-5920"
}
],
"practiceLocations": [
{
"address_1": "4124 Odie Ln",
"address_purpose": "LOCATION",
"city": "Santa Maria",
"state": "CA",
"postal_code": "934553109",
"country_code": "US",
"telephone_number": "805-937-5475",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COOKS",
"first_name": "ADRIAN",
"middle_name": "R",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-09-14",
"last_updated": "2025-10-09",
"certification_date": "2025-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": null,
"license": null,
"primary": false
},
{
"code": "373H00000X",
"taxonomy_group": "",
"desc": "Day Training/Habilitation Specialist",
"state": null,
"license": null,
"primary": false
},
{
"code": "172V00000X",
"taxonomy_group": "",
"desc": "Community Health Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Maria, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.