Individual provider Active NPI

Craig Lee Cooper, CRNA

  • Certified Registered Nurse Anesthetist
  • San Diego, CA
National Provider Identifier
1679544845
Registry record updated Oct 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
616100 Issued in CA
Practice address
200 W Arbor Dr
San Diego, CA 92103-9000
Phone
(619) 543-5754
Fax
(619) 543-5424
NPI assigned
Jan 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 616100 CA Primary

Addresses

Primary practice location

200 W Arbor Dr
San Diego, CA 92103-9000

Mailing address

PO Box 232410
San Diego, CA 92193-2410

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120705000226 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 1153586730 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samantha Polikowski Anesthesia IncGroup PAC ID 1951742543, 36 clinicians
Sound Physicians Anesthesiology of California PCGroup PAC ID 4385027770, 35 clinicians
Darin Rentz DO PCGroup PAC ID 7315333853, 131 clinicians
San Gabriel Anesthesia Associates, PCGroup PAC ID 3678720604, 16 clinicians

Practice addresses (Care Compare)

2130 Citracado Pkwy
Escondido, CA 92029-4149
Phone (858) 485-1111

4002 Vista Way
Oceanside, CA 92056-4506
Phone (760) 724-8411

700 W El Norte Pkwy
Escondido, CA 92026-3923
Phone (760) 738-7830

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
84.13
Promoting interoperability
100
Improvement activities
40
Cost
73.88

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
616100CAMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Escondido Anesthesia Associates LP Nurse Anesthetist, Certified Registered CurrentSince Aug 11, 2024 Accepting new patients
San Gabriel Anesthesia Associates, PC Nurse Anesthetist, Certified Registered CurrentSince Jan 23, 2025 Accepting new patients
Sound Physicians Anesthesiology of California PC Nurse Anesthetist, Certified Registered CurrentSince May 1, 2025 Accepting new patients
Samantha Polikowski Anesthesia Inc Nurse Anesthetist, Certified Registered CurrentSince Feb 1, 2026 Accepting new patients
Darin Rentz DO PC Nurse Anesthetist, Certified Registered CurrentSince Dec 29, 2025 Accepting new patients
Zachary C Cohen MD Apc CurrentSince May 12, 2025 Accepting new patients
Zachary C Cohen MD Apc CurrentSince May 12, 2025 Accepting new patients
Regents of the University of California CurrentSince Apr 1, 2014 Accepting new patients
Comprehensive Anesthesia, a California Nursing Corporation Nurse Anesthetist, Certified Registered CurrentSince May 21, 2012 Accepting new patients
Regents of the University of California Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2014 Accepting new patients
Regents of the University of California Ucsd Head and Neck Surgery Past Accepting new patients
Regents of the University of California Past Accepting new patients

Locations

288 N Santa Anita Ave
Ste 404
Arcadia, CA 91006
Phone (626) 289-2223

835 Third Ave
Ste A
Chula Vista, CA 91911
Phone (619) 425-7755

488 E Valley Pkwy
Ste 110
Escondido, CA 92025
Phone (760) 735-6290

700 W El Norte Pkwy
Escondido, CA 92026
Phone (760) 738-7830

2130 Citracado Pkwy
Escondido, CA 92029
Phone (858) 485-1111

6153 N Thesta St
Fresno, CA 93710
Phone (559) 432-5156

1332 W Herndon Ave
Ste 102
Fresno, CA 93711
Phone (559) 440-9640

25405 Hancock Ave
Ste 103
Murrieta, CA 92562
Phone (909) 698-4670

4002 Vista Way
Oceanside, CA 92056
Phone (760) 724-8411

44139 Monterey Ave
Ste B
Palm Desert, CA 92260
Phone (760) 773-4411

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

6655 Alvarado Rd
San Diego, CA 92120
Phone (619) 229-3130

Organizations & group practices 13

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.

View all 13

Hospital & facility affiliations 1

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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540166400000",
    "number": "1679544845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 232410",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921932410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W ARBOR DR",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921039000",
            "telephone_number": "619-543-5754",
            "fax_number": "619-543-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "CRAIG",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-27",
        "last_updated": "2018-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "616100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2018; 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.