Cully Alton Cobb III, M.D.

Primary specialty

Neurological Surgery PhysicianTaxonomy code 207T00000X

License

G19193 Issued in CA

Practice address

3939 J St
Suite 250
Sacramento, CA 95819-3636

Phone

(916) 733-3401

Fax

(916) 733-3410

NPI assigned

Jul 18, 2006

Last updated

Jul 2, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Northern California Neurological Surgeons

  • Neurological Surgery Physician
  • Sacramento, CA
  • NPI 1124115290
  NPD (past)

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435795200000",
    "number": "1770502163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "956707956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 J ST",
            "address_2": "SUITE 250",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958193636",
            "telephone_number": "916-733-3401",
            "fax_number": "916-733-3410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBB",
        "first_name": "CULLY",
        "middle_name": "ALTON",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2015-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "CA",
            "license": "G19193",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G191930",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jodi Coates, M.D.
• Terry L Coates, M.D.
• Dayna Drew Coats
• Ladiamond Cobarruvizas
• Cobb French & Prasad Neurosurgical Associates a Medical Corporation
• Darius Cobb
• Erin Shariese Cobb
• Jamie L. Cobb, MD
• Kaitlan Denise Cobb, M.D.
• Steven C Cobb

• Neurological Surgery Physician in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Neurological Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2015; 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.