Stephen Franklin Cooper, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

GFE30319 Issued in CA

Practice address

14567 Deervale PL
Sherman Oaks, CA 91403-4612

Phone

(818) 995-6074

Fax

(818) 783-7989

NPI assigned

Sep 18, 2008

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1221696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1221696000000",
    "number": "1922257575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14567 DEERVALE PL",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034612",
            "telephone_number": "818-995-6074",
            "fax_number": "818-783-7989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14567 DEERVALE PL",
            "city": "SHERMAN OAKS",
            "state": "CA",
            "postal_code": "914034612",
            "telephone_number": "818-995-6074",
            "fax_number": "818-783-7989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOPER",
        "first_name": "STEPHEN",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-09-18",
        "last_updated": "2008-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "GFE30319",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marco Antonio Contreras Gomez
• Karen B Conway, PH.D.
• Philip H Conwisar, MD
• Dana Annette Cook, L.C.S.W.
• Joshua Cook, PTA
• Alexandra Ruth Cooperman, LCSW
• Sheila Brosman Cooperr, LMFT
• Corazon C Rabonza DDS Inc
• Dayanna Corbin
• Jose E Corena, PSY.D.

• General Practice Physician in Sherman Oaks, CA
• Providers in Sherman Oaks, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.