Active NPI
Heidi Cook-Andersen, MD
- Obstetrics & Gynecology Physician
- La Jolla, CA
National Provider Identifier
1679629273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A109996
- Practice address
- 9500 Gilman Dr
Ucsd, BSB 5046B, 0633
La Jolla, CA 92093-0633 - Phone
- (858) 534-8930
- NPI assigned
- Jan 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | TL-1573 | CO | |
| Obstetrics & Gynecology Physician | 207V00000X | A109996 | CA | Primary |
Addresses
Primary practice location
9500 Gilman Dr
Ucsd, BSB 5046B, 0633
La Jolla, CA 92093-0633
Mailing address
9500 Gilman Drive
Ucsd, BSB 5046B, 0633
San Diego, CA 92093-0633
Phone (858) 534-8930
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A109996 | CA | MD | Obstetrics & Gynecology Physician |
| TL-1573 | CO | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169769600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1264982400000",
"number": "1679629273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9500 GILMAN DRIVE",
"address_2": "UCSD, BSB 5046B, 0633",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "920930633",
"telephone_number": "858-534-8930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9500 GILMAN DR",
"address_2": "UCSD, BSB 5046B, 0633",
"city": "LA JOLLA",
"state": "CA",
"postal_code": "920930633",
"telephone_number": "858-534-8930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK-ANDERSEN",
"first_name": "HEIDI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-26",
"last_updated": "2010-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CO",
"license": "TL-1573",
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A109996",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in La Jolla, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.