Active NPI
Charles Alan Cooper, M.D.
- Ophthalmology Physician
- San Francisco, CA
National Provider Identifier
1730303082
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- G44847
- Practice address
- 8 Landers St
Unit 301
San Francisco, CA 94114-4300 - Phone
- (805) 341-4112
- Fax
- (805) 341-4112
- NPI assigned
- Apr 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | G44847 | CA | Primary |
Addresses
Primary practice location
8 Landers St
Unit 301
San Francisco, CA 94114-4300
Mailing address
8 Landers St
Unit 301
San Francisco, CA 94114-4300
Phone (805) 341-4112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| WG44847C | Other | CA | PPIN |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G44847 | CA | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Sutter Valley Medical Foundation | Current | Accepting new patients | |
| Regents of the Univ of Ca | Ophthalmology | Current | Accepting new patients |
| Lynn Eye Medical Group | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
4900 Broadway
Ste 2800
Sacramento, CA 95820
Phone (916) 734-9313
2800 L St
Ste 500
Sacramento, CA 95816
Phone (916) 454-6850
4860 Y St
Ste 2400
Sacramento, CA 95817
Phone (916) 734-6602
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
Organizations & group practices 8
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.
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- NPI 1245357565
-
- Diagnostic Radiology Physician
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- NPI 1477546406
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- Ophthalmology Physician
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- NPI 1629061882
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- Durable Medical Equipment & Medical Supplies
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- NPI 1720930712
-
- Multi-Specialty Clinic/Center
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- Pulmonary Disease Physician
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- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1479168000000",
"number": "1730303082",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 LANDERS ST",
"address_2": "UNIT 301",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941144300",
"telephone_number": "805-341-4112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 LANDERS ST",
"address_2": "UNIT 301",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941144300",
"telephone_number": "805-341-4112",
"fax_number": "805-341-4112"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOPER",
"first_name": "CHARLES",
"middle_name": "ALAN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-11",
"last_updated": "2016-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "CA",
"license": "G44847",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PPIN",
"identifier": "WG44847C",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Francisco, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2016; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.