Active NPI
Kathleen Marie Cotter, DC
- Chiropractor
- Glendale, CA
National Provider Identifier
1639917263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC26366
- Practice address
- 1300 Gardena Ave
Glendale, CA 91204-2726 - Phone
- (310) 528-6712
- NPI assigned
- Jul 17, 2024
- Last updated
- Jul 17, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC26366 | CA | Primary |
Addresses
Primary practice location
1300 Gardena Ave
Glendale, CA 91204-2726
Mailing address
17032 Hillwood Dr
Yorba Linda, CA 92886-3708
Phone (310) 528-6712
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
| License | State | Type | Specialty |
|---|---|---|---|
| DC26366 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1721174400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1639917263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17032 HILLWOOD DR",
"city": "YORBA LINDA",
"state": "CA",
"postal_code": "928863708",
"telephone_number": "310-528-6712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 GARDENA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912042726",
"telephone_number": "310-528-6712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTER",
"first_name": "KATHLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-07-17",
"last_updated": "2024-07-17",
"certification_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC26366",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, CA
- Julissa Yvonne Cortes, PSY.D.
- Hernan Eduardo Cortez, NONE
- Michele M Cosgrove, M.D.
- Sarrah Jane Perez Cosico, NURSE PRACTITIONER
- Elena Cosio, RN
- Cottu Di Roccaforte Inc. (True Self Psychotherapy)
- Perri Coughlin
- Counseling4Kids
- County of Los Angeles (Glendale Health Center)
- County of Los Angeles (Glendale Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.