Organization Active NPI

Renee Cotter MD a Medical Corporation

  • Specialist
  • West Hills, CA
National Provider Identifier
1548445216
Registry record updated Dec 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G65012 Issued in CA
Legal business name
RENEE COTTER MD A MEDICAL CORPORATION
Practice address
7301 Medical Center Dr
Suite 304
West Hills, CA 91307-1904
Phone
(818) 887-5008
Fax
(818) 887-5577
NPI assigned
Dec 31, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2007

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

Authorized official

Name
Renee Cotter II, MD
Title
Owner
Phone
(818) 887-5008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G65012 CA Primary

Addresses

Primary practice location

7301 Medical Center Dr
Suite 304
West Hills, CA 91307-1904

Mailing address

7301 Medical Center Dr
Suite 304
West Hills, CA 91307-1904
Phone (818) 887-5008

Other identifiers 1

IdentifierTypeStateIssuer
ZZZ03715ZOtherCABLUE SHIELD

National Provider Directory

National Provider Directory

Locations

7320 Woodlake Ave
West Hills, CA 91307
Phone (818) 226-6811

7301 Medical Center Dr
Ste 304
West Hills, CA 91307
Phone (818) 878-0740

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1199059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199059200000",
    "number": "1548445216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-887-5008",
            "fax_number": "818-887-5577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MEDICAL CENTER DR",
            "address_2": "SUITE 304",
            "city": "WEST HILLS",
            "state": "CA",
            "postal_code": "913071904",
            "telephone_number": "818-887-5008",
            "fax_number": "818-887-5577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE COTTER MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-31",
        "last_updated": "2007-12-31",
        "status": "A",
        "authorized_official_last_name": "COTTER",
        "authorized_official_first_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "818-887-5008",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G65012",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZ03715Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.