Individual provider Active NPI

Ami Bee Cooper

  • Social Worker
  • Walnut Creek, CA
National Provider Identifier
1558012344
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
106805 Issued in CA
Practice address
3021 Citrus Cir Ste 240
Walnut Creek, CA 94598-2691
Phone
(510) 592-4455
NPI assigned
Jan 12, 2022
Last updated
May 28, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 106805 CA Primary

Addresses

Primary practice location

3021 Citrus Cir Ste 240
Walnut Creek, CA 94598-2691

Mailing address

1229 1/2 Rose St
Crockett, CA 94525-1362
Phone (510) 681-7409

Other practice location 1

1460 Maria Ln Ste 300
Walnut Creek, CA 94596-5314
Phone (510) 681-7409

Other identifiers 1

IdentifierTypeStateIssuer
01111MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
106805CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1641945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1558012344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1229 1/2 ROSE ST",
            "city": "CROCKETT",
            "state": "CA",
            "postal_code": "945251362",
            "telephone_number": "510-681-7409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3021 CITRUS CIR STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982691",
            "telephone_number": "510-592-4455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1460 Maria Ln Ste 300",
            "address_purpose": "LOCATION",
            "city": "Walnut Creek",
            "state": "CA",
            "postal_code": "945965314",
            "country_code": "US",
            "telephone_number": "510-681-7409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COOPER",
        "first_name": "AMI",
        "middle_name": "BEE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-12",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "106805",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01111",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; 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.