NPIMap

Individual provider Active NPI

Randolph Bryant Cook, MD

  • Orthopaedic Surgery Physician
  • Arroyo Grande, CA
National Provider Identifier
1740254192
Registry record updated Nov 2, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
G89412 Issued in CA
Practice address
850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929
Phone
(805) 473-0700
Fax
(805) 473-5931
NPI assigned
Feb 14, 2006
Last updated
Nov 2, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X G89412 CA Primary

Addresses

Primary practice location

850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929

Mailing address

850 Fair Oaks Ave Ste 100
Arroyo Grande, CA 93420-3929
Phone (805) 473-0700

Other identifiers 1

IdentifierTypeStateIssuer
CB218593OtherCAMEDICARE ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140826001007 CA Practitioner - Orthopedic Surgery 7214821214 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Virginia School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DHP of Twin Cities Medical Group IncGroup PAC ID 0840449385, 6 clinicians

Practice addresses (Care Compare)

1100 Las Tablas Rd
Templeton, CA 93465-9704
Phone (805) 434-4352

300 S Stratford Ave
Santa Maria, CA 93454-5903
Phone (805) 739-3863

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
99.64 of 100Reported as apm
Quality
86.27
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Knee replacement1-10
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G89412CAMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pacific Central Coast Health Centers Orthopaedic Surgery Current Accepting new patients
DHP of Twin Cities Medical Group Inc Orthopaedic Surgery CurrentSince Nov 1, 2020 Accepting new patients
Pacific Central Coast Health Centers CurrentSince Aug 23, 2013 Accepting new patients
Pacific Central Coast Health Centers Orthopaedic Surgery CurrentSince Aug 23, 2013 Accepting new patients
DHP of Fairmont Inc Orthopaedic Surgery Past Accepting new patients
Inova Health Care Services Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Pacific Central Coast Health Centers Past Accepting new patients
Dignity Health Past Accepting new patients
Center for Advanced Orthopedic Surgery & Pain Management PLC Orthopaedic Surgery PastSince Sep 17, 2012 Accepting new patients

Locations

850 Fair Oaks Ave
Ste 100
Arroyo Grande, CA 93420
Phone (805) 473-0700

Dept LA 23703
Pasadena, CA 91185

117 W Bunny Ave
Santa Maria, CA 93458
Phone (805) 739-3474

1510 E Main St
Ste 104C
Santa Maria, CA 93454
Phone (805) 349-8514

300 S Stratford Ave
Santa Maria, CA 93454
Phone (805) 347-2100

504 Plaza Dr
Santa Maria, CA 93454

1100 Las Tablas Rd
Templeton, CA 93465
Phone (805) 434-3500

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698883200000",
    "number": "1740254192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 100",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-473-0700",
            "fax_number": "805-473-5931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 FAIR OAKS AVE STE 100",
            "city": "ARROYO GRANDE",
            "state": "CA",
            "postal_code": "934203929",
            "telephone_number": "805-473-0700",
            "fax_number": "805-473-5931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "RANDOLPH",
        "middle_name": "BRYANT",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2023-11-02",
        "certification_date": "2023-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CA",
            "license": "G89412",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "CB218593",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arroyo Grande, CA

Sources for this page

Verify at the official NPI Registry.