James E Cook, IDC

Primary specialty

Independent Duty CorpsmanTaxonomy code 1710I1002X

Practice address

35000 Guadalcanal St
Branch Medical Clinic MCRD
San Diego, CA 92140

Phone

(619) 524-4102

NPI assigned

May 7, 2008

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)

Not enrolled

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.

• Branch Medical Clinic MCRD

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • San Diego, CA
  • NPI 1649446857
  NPD (past)

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1447426663",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35000 GUADALCANAL ST",
            "address_2": "BRANCH MEDICAL CLINIC MCRD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92140",
            "telephone_number": "619-524-4102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35000 GUADALCANAL ST",
            "address_2": "BRANCH MEDICAL CLINIC MCRD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92140",
            "telephone_number": "619-524-4102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "JAMES",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "IDC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-05-07",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1002X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Corpsman",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CORPSMAN",
            "identifier": "1710I1002X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Curt Alan Cook
• Danika N Cook
• Darlene Cook, OT
• Dennis D. Cook, MD
• Donna Lynn Cook, CNS
• Jessica Cook
• Jessica C. Cook, D.O.
• Joel Lair Cook, O.D.
• Julie Cook
• Kevin Andrew Cook, M.D.

• Independent Duty Corpsman in San Diego, CA
• Providers in San Diego, CA by specialty
• Independent Duty Corpsman in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 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.