Individual provider Active NPI

Charles Alan Cooper, M.D.

  • Ophthalmology Physician
  • San Francisco, CA
National Provider Identifier
1730303082
Registry record updated Nov 15, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G44847 Issued in CA
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

Updated by the provider on Nov 15, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
WG44847COtherCAPPIN

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101102000920 CA Practitioner - Ophthalmology 6406867076 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G44847CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the Univ of Ca CurrentSince Oct 30, 2017 Accepting new patients
Regents of the Univ of Ca Current Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2022 Accepting new patients
Sutter Valley Medical Foundation CurrentSince Dec 1, 2022 Accepting new patients
Sutter Valley Medical Foundation Current Accepting new patients
Regents of the Univ of Ca Ophthalmology CurrentSince Oct 30, 2017 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.

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

Verify at the official NPI Registry.