Individual provider Active NPI

Joannie Mae Cathey Cook, MD

  • Internal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1780737981
Registry record updated Dec 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A33575 Issued in CA
Practice address
231 W Vernon Ave
Ste 204
Los Angeles, CA 90037-2700
Phone
(310) 724-7448
Fax
(323) 232-6784
NPI assigned
Jan 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X A33575 CA
Internal Medicine Physician 207R00000X A33575 CA Primary
Preventive Medicine/Occupational Environmental Medicine Physician 2083P0500X A33575 CA

Addresses

Primary practice location

231 W Vernon Ave
Ste 204
Los Angeles, CA 90037-2700

Mailing address

904 Silver Spur Rd
#200
Rolling Hills, CA 90274
Phone (310) 724-7448

Other identifiers 1

IdentifierTypeStateIssuer
A3357350MedicaidCA

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
I20100107000573 CA Practitioner - Internal Medicine 5193866515 Practice locations: Los Angeles, CA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Rush Medical College of Rush University, 1976
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

231 W Vernon Ave
Los Angeles, CA 90037-2778
Phone (323) 734-0250

National Provider Directory

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

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

NPI Registry JSON

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1417651200000",
    "number": "1780737981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "904 SILVER SPUR RD",
            "address_2": "#200",
            "city": "ROLLING HILLS",
            "state": "CA",
            "postal_code": "90274",
            "telephone_number": "310-724-7448",
            "fax_number": "323-232-6784"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "231 W VERNON AVE",
            "address_2": "STE 204",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900372700",
            "telephone_number": "310-724-7448",
            "fax_number": "323-232-6784"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CATHEY COOK",
        "first_name": "JOANNIE",
        "middle_name": "MAE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-19",
        "last_updated": "2014-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "CA",
            "license": "A33575",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A33575",
            "primary": true
        },
        {
            "code": "2083P0500X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
            "state": "CA",
            "license": "A33575",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "A3357350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.