Active NPI
Mercedes Alexis Cook, D.C.
- Chiropractor
- San Diego, CA
National Provider Identifier
1922504745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 34707
- Practice address
- 409 Camino del Rio S Ste 105
San Diego, CA 92108-3505 - Phone
- (858) 622-0662
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC-04803 | OH | |
| Chiropractor | 111N00000X | 34707 | CA | Primary |
Addresses
Primary practice location
409 Camino del Rio S Ste 105
San Diego, CA 92108-3505
Mailing address
409 Camino del Rio S
Ste 105
San Diego, CA 92108-3505
Phone (858) 577-0662
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
409 Camino del Rio S
Suite 105
San Diego, CA 92108-3505
Phone (858) 577-0662
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34707 | CA | MD | Licensed Psychiatric Technician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook Upper Cervical Chiropractic, Apc | Current | Accepting new patients | |
| Jessica Lee Chiropractic. Inc | Chiropractor | Current | Accepting new patients |
Locations
409 Camino del Rio S
Ste 105
San Diego, CA 92108
Phone (858) 434-5926
Organizations & group practices 2
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.
-
- Clinic/Center
- San Diego, CA
- NPI 1164056792
-
dba Miramar Chiropractic & Wellness
- Chiropractor
- San Diego, CA
- NPI 1225385057
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583193600000",
"number": "1922504745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 CAMINO DEL RIO S",
"address_2": "STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083505",
"telephone_number": "858-577-0662"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "409 CAMINO DEL RIO S STE 105",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921083505",
"telephone_number": "858-622-0662"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COOK",
"first_name": "MERCEDES",
"middle_name": "ALEXIS",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2020-03-03",
"certification_date": "2020-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "OH",
"license": "DC-04803",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "34707",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.