NPIMap

Individual provider Active NPI

Zachary Adam Cooper, M.D.

  • Dermatology Physician
  • Sonora, CA
National Provider Identifier
1659309904
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
A72373 Issued in CA
Practice address
19933 Greenley Rd # C
Sonora, CA 95370
Phone
(209) 536-0505
Fax
(209) 536-0506
NPI assigned
Jun 28, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X A72373 CA Primary

Addresses

Primary practice location

19933 Greenley Rd # C
Sonora, CA 95370

Mailing address

19933 Greenley Rd # C
Sonora, CA 95370
Phone (209) 536-0505

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, TX2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031210000774 CA Practitioner - Dermatology 9537065552 Reassigns benefits to 2 organizations
I20250401000209 TX Practitioner - General PracticePractitioner - DermatologyPractitioner - Family Practice 9537065552 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

19933 Greenley Rd
Suite C
Sonora, CA 95370-5906
Phone (209) 536-0505

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.14 of 100Reported as group
Quality
86.37
Promoting interoperability
100
Improvement activities
40
Cost
84.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision300
Removal of skin lesions8650
Removal of skin cancer406
Removal or shaving of skin growth1-10
Skin biopsy1050

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
72373CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tuolumne Me-Wuk Indian Health Center, Inc. CurrentSince Oct 4, 2014 Accepting new patients
Mathiesen Memorial Health Clinic CurrentSince Jan 1, 2025 Accepting new patients
Zachary a. Cooper MD a Professional Corp Dermatology CurrentSince Jan 3, 2005 Accepting new patients
Tuolumne Mewuk Indian Health Center, Inc CurrentSince Oct 4, 2014 Accepting new patients
Mathiesen Memorial Health Center PastSince Jun 5, 2022 Accepting new patients

Locations

19933 Greenley Rd
Ste C
Sonora, CA 95370
Phone (209) 536-0505

18880 Cherry Valley Blvd
Tuolumne, CA 95379
Phone (209) 928-5400

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: zachary.cooper.p1@direct.mathiesenmemorialhc.nextgenshare.com

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 12

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659309904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19933 GREENLEY RD # C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-536-0505",
            "fax_number": "209-536-0506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19933 GREENLEY RD # C",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "95370",
            "telephone_number": "209-536-0505",
            "fax_number": "209-536-0506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "ZACHARY",
        "middle_name": "ADAM",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "CA",
            "license": "A72373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sonora, CA

Sources for this page

Verify at the official NPI Registry.