Individual provider Active NPI

Amy Fishman Cooper, MD/MPH

  • Pediatrics Physician
  • Valencia, CA
National Provider Identifier
1366602138
Registry record updated Jan 31, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
065953 Issued in GA
Practice address
27420 Tourney Rd Ste 150
Valencia, CA 91355-5632
Phone
(661) 259-8999
NPI assigned
Jun 14, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 065953 GA Primary

Addresses

Primary practice location

27420 Tourney Rd Ste 150
Valencia, CA 91355-5632

Mailing address

27420 Tourney Rd Ste 150
Valencia, CA 91355-5632
Phone (661) 259-8999

Other practice location 1

3939 Roswell Rd
Suite 300
Marietta, GA 30062-6251
Phone (770) 578-2868

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 Medicine

State licenses

LicenseStateTypeSpecialty
065953GAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Discovery Pediatrics, Inc. Pediatrics Past Accepting new patients
Henry Mayo Newhall Memorial Hospital Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/59370

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": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548892800000",
    "number": "1366602138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 150",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555632",
            "telephone_number": "661-259-8999",
            "fax_number": "661-705-0110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27420 TOURNEY RD STE 150",
            "city": "VALENCIA",
            "state": "CA",
            "postal_code": "913555632",
            "telephone_number": "661-259-8999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Roswell Rd",
            "address_2": "Suite 300",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626251",
            "country_code": "US",
            "telephone_number": "770-578-2868",
            "fax_number": "770-971-8499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMY",
        "middle_name": "FISHMAN",
        "credential": "MD/MPH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-14",
        "last_updated": "2019-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "065953",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valencia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2019; 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.