Cochrane Medical Group, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20A6250 Issued in CA

Legal business name

COCHRANE MEDICAL GROUP, INC

Practice address

667 Palm Ave
Imperial Beach, CA 91932-1243

Phone

(619) 575-8887

Fax

(619) 575-1374

NPI assigned

May 15, 2014

Last updated

May 15, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Joy Emmanuel-Cochrane, D.O.

Title

President

Phone

(619) 575-8887

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1400112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1400112000000",
    "number": "1700297439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "667 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321243",
            "telephone_number": "619-575-8887",
            "fax_number": "619-575-1374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "667 PALM AVE",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919321243",
            "telephone_number": "619-575-8887",
            "fax_number": "619-575-1374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COCHRANE MEDICAL GROUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-15",
        "last_updated": "2014-05-15",
        "status": "A",
        "authorized_official_last_name": "EMMANUEL-COCHRANE",
        "authorized_official_first_name": "JOY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-575-8887",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A6250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mirna Canizalez
• Andres Felipe Casallas, DDS
• Faith Pauline Chisum, MD
• Peter Inseok Chung, PT, DPT, CSCS
• James Christopher Clifford, M.D.
• Ruth Ann Cole, HHP, ABT, MT
• Luis Alberto Contreras, DDS
• Mary Corbett
• Madison Paige Cox
• Veronica Cuevas, PHARMD

• Family Medicine Physician in Imperial Beach, CA
• Providers in Imperial Beach, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.