Individual provider Active NPI

Antonio Alberto Diaz Cooper, NP

  • Family Nurse Practitioner
  • Westlake Village, CA
National Provider Identifier
1184418204
Registry record updated Jun 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95034612 Issued in CA
Practice address
5743 Corsa Ave Ste 112
Westlake Village, CA 91362-6441
Phone
(805) 790-5300
NPI assigned
Apr 4, 2025
Last updated
Jun 4, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95034612 CA Primary

Addresses

Primary practice location

5743 Corsa Ave Ste 112
Westlake Village, CA 91362-6441

Mailing address

5743 Corsa Ave Ste 112
Westlake Village, CA 91362-6441
Phone (805) 790-5300

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250520004995 CA Practitioner - Nurse Practitioner 4587182753 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
VST MedicalGroup PAC ID 7214456946, 2 clinicians
Senior Doc Integrated Med PCGroup PAC ID 3375990286, 15 clinicians

Practice addresses (Care Compare)

Chino Hills, CA 91709
Phone (909) 935-9345

5 Hutton Centre Dr
Suite 950
Santa Ana, CA 92707-8744
Phone (855) 434-7763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95034612CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Helixa Health a Professional Nursing Corporation Current Accepting new patients
Clinical Mobile Care CurrentSince Jun 13, 2025 Accepting new patients
VST Medical CurrentSince Jun 13, 2025 Accepting new patients
Vicrumdeep S Tung MD Inc CurrentSince Mar 25, 2025 Accepting new patients
Zenmedicine CurrentSince Mar 10, 2025 Accepting new patients

Locations

1000 Town Center Dr
Ste 300
Oxnard, CA 93036
Phone (805) 351-8860

741 S Orange Ave
Ste 100
West Covina, CA 91790
Phone (626) 338-5581

5743 Corsa Ave
Ste 112
Westlake Village, CA 91362
Phone (805) 229-1887

Organizations & group practices 7

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

NPI Registry JSON

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780531200000",
    "number": "1184418204",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626441",
            "telephone_number": "805-790-5300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5743 CORSA AVE STE 112",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913626441",
            "telephone_number": "805-790-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIAZ COOPER",
        "first_name": "ANTONIO",
        "middle_name": "ALBERTO",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-04-04",
        "last_updated": "2026-06-04",
        "certification_date": "2026-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95034612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westlake Village, CA

Sources for this page

Verify at the official NPI Registry.