Ian Christian Cooke, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

33089 Issued in CA

Practice address

16766 Bernardo Center Dr Ste 112
San Diego, CA 92128-2501

Phone

(858) 675-0007

Fax

(858) 284-3646

NPI assigned

Aug 21, 2015

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cooke Chiropractic Corporation

  • Chiropractor
  • San Diego, CA
  • NPI 1215442876
  Medicare reassignment Authorized official
• Walia Chiropractic, Inc

  • Chiropractor
  • San Diego, CA
  • NPI 1902064884
  NPD (past)

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

{
    "created_epoch": "1440115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725062400000",
    "number": "1609243971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-675-0007",
            "fax_number": "858-284-3646"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16766 BERNARDO CENTER DR STE 112",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282501",
            "telephone_number": "858-675-0007",
            "fax_number": "858-284-3646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOKE",
        "first_name": "IAN",
        "middle_name": "CHRISTIAN",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2015-08-21",
        "last_updated": "2024-08-31",
        "certification_date": "2024-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "33089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosaline Cook
• Sherry L Cook
• Syrena Cook
• Cooke Chiropractic Corporation
• Eleanor Louise May Cooke
• Jonathon Cooke, MD
• Laura Greci Cooke, MD, MPH
• Natea Cooke
• Steven D Cooke, MS
• Connie Cooks

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.