Individual provider Active NPI

Sara Turner Cooper, PA-C, PHD

  • Physician Assistant
  • La Mesa, CA
National Provider Identifier
1457029902
Registry record updated Nov 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA59876 Issued in CA
Practice address
8851 Center Dr Ste 404
La Mesa, CA 91942-3072
Phone
(858) 622-7200
Fax
(619) 463-8230
NPI assigned
Aug 31, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA59876 CA Primary

Addresses

Primary practice location

8851 Center Dr Ste 404
La Mesa, CA 91942-3072

Mailing address

8851 Center Dr Ste 404
La Mesa, CA 91942-3072
Phone (858) 622-7200

Other practice location 1

9850 Genesee Ave Ste 470
LA Jolla, CA 92037-1228
Phone (858) 622-7200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220620001377 CA Practitioner - Physician Assistant 4284013335 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
59876CAMDPharmacist
PA59876CAMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: sturnercooper32505@sharphealthcare.direct-ci.com

Organizations & group practices 1

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": "1630368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731283200000",
    "number": "1457029902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 404",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423072",
            "telephone_number": "858-622-7200",
            "fax_number": "858-622-7211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8851 CENTER DR STE 404",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423072",
            "telephone_number": "858-622-7200",
            "fax_number": "619-463-8230"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 Genesee Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "LA Jolla",
            "state": "CA",
            "postal_code": "920371228",
            "country_code": "US",
            "telephone_number": "858-622-7200",
            "fax_number": "858-622-7211",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TURNER COOPER",
        "first_name": "SARA",
        "credential": "PA-C, PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-31",
        "last_updated": "2024-11-11",
        "certification_date": "2024-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA59876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.