Individual provider Active NPI

Alfred Cook, MD

  • Emergency Medicine Physician
  • Glendora, CA
National Provider Identifier
1932166972
Registry record updated Jun 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A37892 Issued in CA
Practice address
150 W Route 66
Glendora, CA 91740-6207
Phone
(626) 335-0231
Fax
(626) 963-0403
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A37892 CA Primary

Addresses

Primary practice location

150 W Route 66
Glendora, CA 91740-6207

Mailing address

PO Box 660566
Arcadia, CA 91066-0566
Phone (626) 447-0296

Other identifiers 1

IdentifierTypeStateIssuer
00A378920MedicaidCA

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
I20040303000545 CA Practitioner - Emergency Medicine 7810884848 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Can Emergency Physicians Medical Group IncGroup PAC ID 8820304462, 49 clinicians

Practice addresses (Care Compare)

13222 Bloomfield Ave
Norwalk, CA 90650-3249
Phone (562) 863-4763

14662 Newport Ave
Tustin, CA 92780-6064
Phone (714) 619-7700

Hospital & facility affiliations

  • Los Angeles Community Hospital Hospital, Los Angeles, CA, CCN 050663
  • Foothill Regional Medical Center Hospital, Tustin, CA, CCN 050780

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A37892CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
California Hospitalists Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Mar 19, 2011 Accepting new patients
Doctors Managed Emergency Medical Group Inc. Emergency Medicine CurrentSince Jul 19, 2024 Accepting new patients
Can Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Can Emergency Physicians Medical Group, Inc. Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
ER Physicians Medical Group, Inc. Emergency Medicine CurrentSince Jun 30, 2013 Accepting new patients
Pediatrix Medical Group of California, a Professional Corporation Past Accepting new patients
Isi J. Russ, M.D., Inc. Emergency Medicine Past Accepting new patients
Premier Health Partners Emergency Medicine Past Accepting new patients

Locations

4081 E Olympic Blvd
Los Angeles, CA 90023
Phone (323) 267-0477

1225 Wilshire Blvd
Los Angeles, CA 90017
Phone (213) 482-2741

13222 Bloomfield Ave
Norwalk, CA 90650
Phone (562) 207-9729

1701 Santa Anita Ave
South El Monte, CA 91733
Phone (626) 350-7916

14662 Newport Ave
Tustin, CA 92780
Phone (714) 619-7700

Organizations & group practices 8

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1213142400000",
    "number": "1932166972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 660566",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910660566",
            "telephone_number": "626-447-0296",
            "fax_number": "626-447-6057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 W ROUTE 66",
            "city": "GLENDORA",
            "state": "CA",
            "postal_code": "917406207",
            "telephone_number": "626-335-0231",
            "fax_number": "626-963-0403"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COOK",
        "first_name": "ALFRED",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2008-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A37892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A378920",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendora, CA

Sources for this page

Verify at the official NPI Registry.