Individual provider Active NPI

Luis A Cousin, M.D.

  • Family Medicine Physician
  • Napa, CA
National Provider Identifier
1477664936
Registry record updated Aug 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G52726 Issued in CA
Practice address
1141 Pear Tree LN Ste 100
Napa, CA 94558-6485
Phone
(707) 254-1770
Fax
(707) 254-1779
NPI assigned
Aug 31, 2006
Last updated
Aug 30, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G52726 CA Primary

Addresses

Primary practice location

1141 Pear Tree LN Ste 100
Napa, CA 94558-6485

Mailing address

PO Box 21206
Bakersfield, CA 93390-1206
Phone (661) 735-1710

Other practice location 1

500 Old River Rd Ste 155
Bakersfield, CA 93311-9509
Phone (661) 516-1516

Other practice location 2

8313 Brimhall Rd Ste 2001
Bakersfield, CA 93312-2243
Phone (661) 760-3040

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081222000129 CA Practitioner - Family Practice 3870595085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Minnesota Medical School, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lac Medical IncGroup PAC ID 5294017703, 4 clinicians

Practice addresses (Care Compare)

5300 Lennox Ave
Suite 105
Bakersfield, CA 93309-1662
Phone (661) 735-1710

8313 Brimhall Rd
Suite 2001
Bakersfield, CA 93312-2243
Phone (661) 516-1516

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.84 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.48

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G52726CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
La Clinica de la Raza Inc Current Accepting new patients
Ole Health CurrentSince Oct 3, 2022 Accepting new patients
Lac Medical, Inc Family Medicine CurrentSince Dec 12, 2016 Accepting new patients
Ole Health CurrentSince Oct 3, 2022 Accepting new patients
Ole Health Current Accepting new patients
Dr. Cousin's Concierge Medical Services, Inc CurrentSince Jan 16, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Vipmd Family Medicine PastSince Feb 1, 2025 Accepting new patients
Southwest Urgent Care Center, Inc. Past Accepting new patients
Ole Health Past Accepting new patients
Mohawk Medical Group, Inc. Past Accepting new patients

Locations

500 Old River Rd
Ste 155
Bakersfield, CA 93311
Phone (661) 664-1220

5300 Lennox Ave
Ste 105
Bakersfield, CA 93309
Phone (661) 735-1710

8313 Brimhall Rd
Ste 2001
Bakersfield, CA 93312
Phone (661) 516-1516

9508 Stockdale Hwy
Ste 110
Bakersfield, CA 93311
Phone (661) 516-1516

1141 Pear Tree Ln
Napa, CA 94558
Phone (707) 258-6128

1141 Pear Tree Ln
Ste 100
Napa, CA 94558
Phone (707) 254-1778

300 Hartle Ct
Napa, CA 94559
Phone (707) 254-1775

220 Hospital Dr
Vallejo, CA 94589
Phone (707) 641-1900

415 Georgia St
Vallejo, CA 94590
Phone (707) 556-8100

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/GDAHAD
  • Direct secure messaging: lcousin675579@direct.ochin.org

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693353600000",
    "number": "1477664936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 21206",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933901206",
            "telephone_number": "661-735-1710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1141 PEAR TREE LN STE 100",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945586485",
            "telephone_number": "707-254-1770",
            "fax_number": "707-254-1779"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Old River Rd Ste 155",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933119509",
            "country_code": "US",
            "telephone_number": "661-516-1516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8313 Brimhall Rd Ste 2001",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933122243",
            "country_code": "US",
            "telephone_number": "661-760-3040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COUSIN",
        "first_name": "LUIS",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2023-08-30",
        "certification_date": "2023-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G52726",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Napa, CA

Sources for this page

Verify at the official NPI Registry.