Organization Active NPI

Ronald S Cooperman MD a Medical Corporation

  • Anesthesiology Physician
  • Tarzana, CA
National Provider Identifier
1760579908
Registry record updated Oct 29, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G14894 Issued in CA
Legal business name
RONALD S COOPERMAN MD A MEDICAL CORPORATION
Practice address
18321 Clark Street
Tarzana, CA 91356-3501
Phone
(818) 708-5285
Fax
(818) 708-5491
NPI assigned
Oct 9, 2006
Last updated
Oct 29, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2008

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

Authorized official

Name
Mr. Ronald S. Cooperman, M.D.
Title
Owner Pres
Phone
(818) 708-5285

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X G14894 CA Primary

Addresses

Primary practice location

18321 Clark Street
Tarzana, CA 91356-3501

Mailing address

PO Box 260620
Encino, CA 91436-0620
Phone (818) 708-5285

National Provider Directory

National Provider Directory

Locations

Dept 3399
Los Angeles, CA 90084

NPI Registry JSON

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225238400000",
    "number": "1760579908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 260620",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "914360620",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18321 CLARK STREET",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913563501",
            "telephone_number": "818-708-5285",
            "fax_number": "818-708-5491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD S COOPERMAN MD A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-09",
        "last_updated": "2008-10-29",
        "status": "A",
        "authorized_official_last_name": "COOPERMAN",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "OWNER PRES",
        "authorized_official_telephone_number": "818-708-5285",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G14894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tarzana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2008; 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.