Individual provider Active NPI

Alison Jo Cook, DPM, MS

  • Podiatrist
  • Hayward, CA
National Provider Identifier
1518964360
Registry record updated Dec 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
E37510 Issued in CA
Practice address
21297 Foothill Blvd
202
Hayward, CA 94541-1554
Phone
(510) 583-1331
Fax
(510) 563-4384
NPI assigned
Jul 7, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2010

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X E37510 CA Primary
Primary Podiatric Medicine Podiatrist 213EP1101X E37510 CA
Radiology Podiatrist 213ER0200X E37510 CA
Sports Medicine Podiatrist 213ES0000X E37510 CA
Foot & Ankle Surgery Podiatrist 213ES0103X E37510 CA
Foot Surgery Podiatrist 213ES0131X E37510 CA

Addresses

Primary practice location

21297 Foothill Blvd
202
Hayward, CA 94541-1554

Mailing address

21297 Foothill Blvd
202
Hayward, CA 94541-1554
Phone (510) 583-1331

Other identifiers 1

IdentifierTypeStateIssuer
000E37510MedicaidCA

Other names 1

  • Dr. Alison Jo Cook Cilliers Other name

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110616000695 CA Practitioner - Podiatry 9931387149 Practice locations: Hayward, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
E3757CAMDPodiatrist
E37510CAMDFoot Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Fidelis Diagnostics, Inc. Past Accepting new patients
California Pacific Medical Group, Inc. Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: acook142038@hisp.ehr.sutterhealth.org
  • Direct secure messaging: acook280531@direct.ochin.org
  • Direct secure messaging: acook14119@alamedahs.direct-ci.com

Organizations & group practices 2

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": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1291680000000",
    "number": "1518964360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD",
            "address_2": "202",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411554",
            "telephone_number": "510-583-1331",
            "fax_number": "510-563-4384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21297 FOOTHILL BLVD",
            "address_2": "202",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945411554",
            "telephone_number": "510-583-1331",
            "fax_number": "510-563-4384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ALISON",
        "middle_name": "JO",
        "name_prefix": "Dr.",
        "credential": "DPM, MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-07",
        "last_updated": "2010-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "CA",
            "license": "E37510",
            "primary": true
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "CA",
            "license": "E37510",
            "primary": false
        },
        {
            "code": "213ER0200X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Radiology",
            "state": "CA",
            "license": "E37510",
            "primary": false
        },
        {
            "code": "213ES0000X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Sports Medicine",
            "state": "CA",
            "license": "E37510",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E37510",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "CA",
            "license": "E37510",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000E37510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISON",
            "last_name": "COOK CILLIERS",
            "middle_name": "JO",
            "prefix": "DR.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.