NPIMap

Individual provider Active NPI

Philip D. Cotter, PHD, FACMG

  • Clinical Cytogenetics Physician
  • Irvine, CA
National Provider Identifier
1346228087
Registry record updated Jul 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cytogenetics PhysicianTaxonomy code 207SC0300X
License
DRM00000001 Issued in CA
Practice address
5 Mason Lane
Suite 100
Irvine, CA 92618-2552
Phone
(949) 812-6902
Fax
(949) 297-3983
NPI assigned
Jan 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2014

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Cytogenetics Physician 207SC0300X DRM1 CA
Clinical Molecular Genetics Physician 207SG0203X DRN1 CA
Clinical Cytogenetics Physician 207SC0300X DRM00000001 CA Primary
Clinical Molecular Genetics Physician 207SG0203X DRM00000001 CA

Addresses

Primary practice location

5 Mason Lane
Suite 100
Irvine, CA 92618-2552

Mailing address

5 Mason Lane
Suite 100
Irvine, CA 92618-2552
Phone (949) 812-7363

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
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
DRM1CAMDClinical Cytogenetics Physician
DRM00000001CAMDClinical Molecular Genetics Physician
DRN1CAMDClinical Molecular Genetics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Researchdx Inc Current Accepting new patients
Researchdx Inc Current Accepting new patients

Locations

5 Mason
Ste 100
Irvine, CA 92618
Phone (949) 812-6902

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.

NPI Registry JSON

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

{
    "created_epoch": "1136332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405036800000",
    "number": "1346228087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 MASON LANE",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182552",
            "telephone_number": "949-812-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 MASON LANE",
            "address_2": "SUITE 100",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926182552",
            "telephone_number": "949-812-6902",
            "fax_number": "949-297-3983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTTER",
        "first_name": "PHILIP",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "PHD, FACMG",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-04",
        "last_updated": "2014-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CA",
            "license": "DRM1",
            "primary": false
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CA",
            "license": "DRN1",
            "primary": false
        },
        {
            "code": "207SC0300X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Cytogenetics",
            "state": "CA",
            "license": "DRM00000001",
            "primary": true
        },
        {
            "code": "207SG0203X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Molecular Genetics",
            "state": "CA",
            "license": "DRM00000001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.