Individual provider Active NPI

H Douglas Cooper, M.D.

  • Ophthalmology Physician
  • Sacramento, CA
National Provider Identifier
1518057108
Registry record updated Sep 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
A45704 Issued in CA
Practice address
1220 25TH St
Sacramento, CA 95816-5005
Phone
(916) 452-4706
Fax
(916) 452-4708
NPI assigned
Oct 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X A45704 CA Primary

Addresses

Primary practice location

1220 25TH St
Sacramento, CA 95816-5005

Mailing address

1220 25TH St
Sacramento, CA 95816-5005
Phone (916) 452-4706

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
I20091204000123 CA Practitioner - OphthalmologyPractitioner - Optometry 3971642950 Reassigns benefits to 2 organizations
Practice locations: Sacramento, CA

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
De la Pena Eye Clinic, a Medical Group, Inc Ophthalmology CurrentSince Jul 17, 2023 Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc Ophthalmology Current Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology CurrentSince Jul 17, 2023 Accepting new patients
H Douglas Cooper MD Inc Ophthalmology CurrentSince Mar 1, 2011 Accepting new patients
Hill Physicians Medical Group - PPO Program Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
De la Pena Eye Clinic, a Medical Group, Inc. Ophthalmology Past Accepting new patients
Jedi Ventures, LLC Ophthalmology PastSince Oct 8, 1998 Accepting new patients
Sutter North Medical Foundation Past Accepting new patients

Locations

75 Enterprise
Ste 200
Aliso Viejo, CA 92656
Phone (949) 688-6205

5959 Greenback Ln
Ste 130
Citrus Hts, CA 95621
Phone (916) 726-1818

10942 Ramona Blvd
Ste A
El Monte, CA 91731
Phone (626) 443-1282

421 Blue Ravine Rd
Ste 300
Folsom, CA 95630
Phone (916) 452-4706

2200 Sunrise Blvd
Ste 120
Gold River, CA 95670
Phone (916) 852-1600

2715 E Florence Ave
Huntington Pk, CA 90255
Phone (323) 581-0120

817 Court St
Ste 10
Jackson, CA 95642
Phone (209) 223-2020

139 S Alvarado St
Los Angeles, CA 90057
Phone (213) 484-0170

2446 W Whittier Blvd
Montebello, CA 90640
Phone (213) 728-5500

6809 Five Star Blvd
Ste 100A
Rocklin, CA 95677
Phone (916) 624-2020

1220 25th St
Sacramento, CA 95816
Phone (916) 452-4706

Organizations & group practices 9

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": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346976000000",
    "number": "1518057108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1220 25TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165005",
            "telephone_number": "916-452-4706",
            "fax_number": "916-452-4708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1220 25TH ST",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958165005",
            "telephone_number": "916-452-4706",
            "fax_number": "916-452-4708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "H",
        "middle_name": "DOUGLAS",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-13",
        "last_updated": "2012-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "A45704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.