Robert C Cockrell, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

G26974 Issued in CA

Practice address

17100 Euclid
Fountain Valley, CA 92708

Phone

(714) 966-7200

NPI assigned

Jun 17, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Acute Care Medical Group of Orange Inc

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1396798690
  NPD (past)
• Main Street Emergency Physicians Medical Group Inc

  • Emergency Medicine Physician
  • Orange, CA
  • NPI 1881971463
  NPD (past)

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208822400000",
    "number": "1447295209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20140",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927280140",
            "telephone_number": "562-809-3572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17100 EUCLID",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "92708",
            "telephone_number": "714-966-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCKRELL",
        "first_name": "ROBERT",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "G26974",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G269740",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Coast Pulmonary & Internal Medicine Associates
• Coast Surgical Consultants
• Coastal 7 Anesthesiology Professional Corporation
• Coastal Recovery, Inc.
• Coastal Wellness LLC
• David Cohen, DDS
• Shelby Alexandria Colburn, NP
• Carol J Cole, LMFT
• Rachelle Coleman
• Mona Lisa Y Collado, RDN

• Emergency Medicine Physician in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Emergency Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2008; 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.