Individual provider Active NPI

Timothy G Cook, A.U. D.

  • Audiologist
  • Palm Springs, CA
National Provider Identifier
1215075155
Registry record updated Oct 2, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU330 Issued in CA
Practice address
1800 N Indian Cyn Dr Ste E-324
Palm Springs, CA 92262-2918
Phone
(310) 829-2118
Fax
(310) 829-2004
NPI assigned
Feb 2, 2007
Last updated
Oct 2, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 2, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU330 CA Primary
Hearing Instrument Specialist 237700000X HA2106 CA

Addresses

Primary practice location

1800 N Indian Cyn Dr Ste E-324
Palm Springs, CA 92262-2918

Mailing address

1180 N Indian Canyon Dr Ste E324
Palm Springs, CA 92262-4868
Phone (760) 320-4136

Other identifiers 1

IdentifierTypeStateIssuer
AU003300MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050329000261 CA Practitioner - Qualified Audiologist 9638125057 Reassigns benefits to 1 organization
Practice locations: Palm Springs, CA

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 1973
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1180 N Indian Canyon Dr
Suite E324
Palm Springs, CA 92262-4868
Phone (760) 320-4136

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HA2106CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Desert Hearing Associates, Inc. CurrentSince Oct 25, 2018 Accepting new patients
Michael R. Gatto MD, Inc. PastSince Aug 1, 2007 Accepting new patients
Geoffrey Trenkle DO a Professional Medical Corporation PastSince Jul 1, 2016 Accepting new patients

Locations

1180 N Indian Canyon Dr
Ste E324
Palm Springs, CA 92262
Phone (760) 320-4136

Organizations & group practices 3

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": "1170374400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538438400000",
    "number": "1215075155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE E324",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624868",
            "telephone_number": "760-320-4136",
            "fax_number": "760-318-0205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 N INDIAN CYN DR STE E-324",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922622918",
            "telephone_number": "310-829-2118",
            "fax_number": "310-829-2004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "TIMOTHY",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "A.U. D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-02",
        "last_updated": "2018-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU330",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA2106",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "AU003300",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Springs, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2018; 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.