Individual provider Active NPI

Emily Ellen Cook, D.O.

  • Ophthalmology Physician
  • Pasadena, CA
National Provider Identifier
1770748758
Registry record updated Aug 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
20A10709 Issued in CA
Practice address
630 S Raymond Ave Unit 230
Pasadena, CA 91105-3283
Phone
(626) 577-1115
Fax
(626) 577-1385
NPI assigned
Jul 18, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2020

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 20A10709 CA Primary

Addresses

Primary practice location

630 S Raymond Ave Unit 230
Pasadena, CA 91105-3283

Mailing address

596 N Oakland Ave
Pasadena, CA 91101-1112
Phone (909) 659-5470

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
I20111004000297 CA Practitioner - Ophthalmology 8224200845 Reassigns benefits to 3 organizations
Practice locations: Pasadena, CA

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
At Still University of Health Sciences, College of Osteo Med, Kirksville, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
George M Rajacich MD IncGroup PAC ID 1658275599, 3 clinicians

Practice addresses (Care Compare)

14624 Sherman Way
Suite 508
Van Nuys, CA 91405-2289
Phone (818) 787-2020

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20A10709CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Darin Eye Center, a Medical Corporation Ophthalmology CurrentSince Jan 1, 2026 Accepting new patients
Darin Eye Center a Medical CurrentSince Jan 1, 2026 Accepting new patients
George M. Rajacich, M.D., Inc. Ophthalmology CurrentSince Apr 1, 2025 Accepting new patients
Mazzocco Ambulatory Surgical Center Past Accepting new patients
Pacific Eye Institute a Medical Group Inc Past Accepting new patients

Locations

425 Haaland Dr
Ste 103
Thousand Oaks, CA 91361
Phone (805) 345-2020

14914 Sherman Way
Van Nuys, CA 91405
Phone (818) 787-2020

15243 Vanowen St
Ste 202
Van Nuys, CA 91405
Phone (818) 419-6659

14624 Sherman Way
Ste 508
Van Nuys, CA 91405
Phone (818) 908-4999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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": "1216339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598227200000",
    "number": "1770748758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "596 N OAKLAND AVE",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011112",
            "telephone_number": "909-659-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "630 S RAYMOND AVE UNIT 230",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053283",
            "telephone_number": "626-577-1115",
            "fax_number": "626-577-1385"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "EMILY",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-18",
        "last_updated": "2020-08-24",
        "certification_date": "2020-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "20A10709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.