Glenn Arthur Cooperman, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G58868 Issued in CA

Practice address

72780 Country Club Dr Ste 100
Rancho Mirage, CA 92270-4150

Phone

(760) 773-9750

Fax

(760) 773-9294

NPI assigned

Aug 17, 2012

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Obstetrics/Gynecology

Education

University of Southern California Keck School of Medicine, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Desert Valley OBGYN IncGroup PAC ID 9931477700, 3 clinicians

Internal Medicine Specialists IncGroup PAC ID 8123100674, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Eisenhower Medical Center Hospital, Rancho Mirage, CA, CCN 050573

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Desert Valley OBGYN Inc

  • Gynecology Physician
  • Rancho Mirage, CA
  • NPI 1851828222

  CA, Gynecology

  Medicare reassignment Care Compare group NPD
• Internal Medicine Specialists Inc

  • Internal Medicine Physician
  • Rancho Mirage, CA
  • NPI 1780863001

  CA

  Medicare reassignment Care Compare group NPD
• Athena Medical Group of the Central Coast, Inc.

  • Clinic/Center
  • Salinas, CA
  • NPI 1396178067

  CA

  Medicare reassignment NPD
• Executive Urgent Care Centers Inc

  • Urgent Care Clinic/Center
  • Indian Wells, CA
  • NPI 1124796362

  CA, Family Medicine

  Medicare reassignment NPD
• Pinnacle Medical Group, Inc.

  • Urgent Care Clinic/Center
  • Salinas, CA
  • NPI 1669557930

  CA

  Medicare reassignment NPD
• San Benito Health Foundation

  • Rural Health Clinic/Center
  • Hollister, CA
  • NPI 1295810174

  CA

  Medicare reassignment NPD
• Urologic Institute of the High Desert Inc.

  • Urology Physician
  • Apple Valley, CA
  • NPI 1376867333

  CA, Family Medicine

  Medicare reassignment NPD
• HMG Urology PC

  • Family Medicine Physician
  • Indian Wells, CA
  • NPI 1770210684

  Family Medicine

  NPD (past)

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

• Eisenhower Medical Center

  • General Acute Care Hospital
  • Rancho Mirage, CA
  • NPI 1013981554

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1345161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758758400000",
    "number": "1679821979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-773-9750",
            "fax_number": "760-773-9294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72780 COUNTRY CLUB DR STE 100",
            "city": "RANCHO MIRAGE",
            "state": "CA",
            "postal_code": "922704150",
            "telephone_number": "760-773-9750",
            "fax_number": "760-773-9294"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPERMAN",
        "first_name": "GLENN",
        "middle_name": "ARTHUR",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-17",
        "last_updated": "2025-09-25",
        "certification_date": "2025-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "CA",
            "license": "G58868",
            "primary": false
        },
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "CA",
            "license": "G58868",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G58868",
            "primary": true
        },
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "CA",
            "license": "G58868",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00588681",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• James Elliott Conti, M.D.
• Contour Dermatology and Cosmetic Surgery Medical Center, Apc
• Kirsten Renee Contreras, PA-C
• Timothy Michael Cookerly, FNP-BC
• Edward B Cooper, M.D.
• Francisco Javier Cordova, M.D.
• Nancy K Cordova, NP
• Corkins and Mendez LLC
• Andrea Virginia Corpora, PA-C
• Morelia Cortez Calderon

• All providers in Rancho Mirage, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.