C Glenn Cooney, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

G076882 Issued in CA

Practice address

2186 Geary Blvd
Suite 210
San Francisco, CA 94115-3455

Phone

(415) 346-7200

Fax

(415) 346-7517

NPI assigned

Aug 2, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Apr 1, 2015 through Apr 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1389312000000",
    "number": "1255332094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD",
            "address_2": "SUITE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153455",
            "telephone_number": "415-346-7200",
            "fax_number": "415-346-7517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2186 GEARY BLVD",
            "address_2": "SUITE 210",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941153455",
            "telephone_number": "415-346-7200",
            "fax_number": "415-346-7517"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COONEY",
        "first_name": "C",
        "middle_name": "GLENN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2014-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G076882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristine Cooley, NP-C
• Jessica Coombs, LMFT
• Lorinda A Coombs, N.P.
• Melissa R Coomes, M.D.
• Charn Maree Coonan
• Elisa Cooney
• Jack Cooney
• Kelly Cooper-Bistricky, MS CCC SLP
• Michelle Fernandes Cooper-Sood, MSW/ASW
• Amy Beth Cooper, OTR/L

• Internal Medicine Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.