NPIMap

Individual provider Active NPI

Matthew D Cooper, M.D.

  • Surgery Physician
  • La Jolla, CA
National Provider Identifier
1528353190
Registry record updated Mar 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A133250 Issued in CA
Practice address
9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone
(858) 457-4917
Fax
(858) 646-0017
NPI assigned
Jun 12, 2011
Last updated
Mar 12, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 54609 AZ
Surgery Physician 208600000X A133250 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229

Mailing address

9850 Genesee Ave Ste 570
La Jolla, CA 92037-1229
Phone (858) 457-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160706000277 CA Practitioner - General Surgery 1951693381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Arizona College of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

303 Santa Fe Dr
Encinitas, CA 92024-5132
Phone (619) 997-8425

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)14
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A133250CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Wound Specialists Surgery CurrentSince Dec 7, 2025 Accepting new patients
Stanford Health Care Surgery Current Accepting new patients
Scripps Health Current Accepting new patients
Gil Q. Galloway, M.D., Inc. Surgery CurrentSince Nov 1, 2022 Accepting new patients
Holy Cross Hospital Inc Past Accepting new patients
Stanford Hospital and Clinics Past Accepting new patients
Scripps Health Past Accepting new patients
Tucson Medical Center Past Accepting new patients
Scripps Health Past Accepting new patients
CH Specialty Services Az LLC Past Accepting new patients

Locations

1084 N El Camino Real
#B385
Encinitas, CA 92024

1084 N El Camino Real
Ste B385
Encinitas, CA 92024
Phone (619) 997-8425

303 Santa Fe Dr
Encinitas, CA 92024
Phone (760) 635-9185

15706 Pomerado Rd
Ste 102
Poway, CA 92064
Phone (858) 522-4548

15706 Pomerado Rd
Ste S102
Poway, CA 92064
Phone (858) 485-1494

300 Pasteur Dr
Stanford, CA 94305
Phone (650) 498-5710

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: mcooper320656@scrippshlth.medalliesdirect.net

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 1

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": "1307836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583971200000",
    "number": "1528353190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-457-4917",
            "fax_number": "858-646-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 570",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371229",
            "telephone_number": "858-457-4917",
            "fax_number": "858-646-0017"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "MATTHEW",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-12",
        "last_updated": "2020-03-12",
        "certification_date": "2020-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "AZ",
            "license": "54609",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A133250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.