Jeffrey Cooper, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0PA149660 Issued in CA

Practice address

39120 Argonaut Way # 275
Fremont, CA 94538-1304

Phone

(510) 796-0770

Fax

(510) 796-7099

NPI assigned

Dec 12, 2006

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247011200000",
    "number": "1639239205",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23372 COMPASS CT",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945414437",
            "telephone_number": "510-885-9818",
            "fax_number": "510-885-9818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39120 ARGONAUT WAY # 275",
            "city": "FREMONT",
            "state": "CA",
            "postal_code": "945381304",
            "telephone_number": "510-796-0770",
            "fax_number": "510-796-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2009-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "0PA149660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Santiago Lopez Contreras, PHARMD
• Grace E Conway
• Ralph Douglas Cook
• Charece Cooks
• Janice Ortega-Santos Cooper, MSN, NP
• Marita A Cooper, MFTI
• Bennett M. Coplan, MD
• Rhonda Gayle Coppin, LCSW
• Betsy Cordova-Chama
• Iris C Cordova, B.A

• Physician Assistant in Fremont, CA
• Providers in Fremont, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2009; 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.