Organization Active NPI

Ian Richard Cook, MD, Apmc

  • Emergency Medicine Physician
  • Palmdale, CA
National Provider Identifier
1932463452
Registry record updated Feb 11, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A107528 Issued in CA
Legal business name
IAN RICHARD COOK, MD, APMC
Practice address
38660 Medical Center Dr Ste A150
Palmdale, CA 93551-4385
Phone
(661) 949-6946
NPI assigned
Jun 28, 2012
Last updated
Feb 11, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 11, 2021

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

Authorized official

Name
Ian R Cook, M.D.NPI 1659607315
Title
Owner
Phone
(310) 780-9608

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X A107528 CA Primary

Addresses

Primary practice location

38660 Medical Center Dr Ste A150
Palmdale, CA 93551-4385

Mailing address

PO Box 9126
Canoga Park, CA 91309-0126
Phone (818) 709-8161

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120820001007 CA Part B Supplier - Clinic/Group Practice 9133376551 Receives reassigned benefits from 2 practitioners
Practice locations: Palmdale, CA; Glendale, CA

National Provider Directory

National Provider Directory

Locations

38660 Medical Center Dr
#A150
Palmdale, CA 93551
Phone (661) 382-5000

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1932463452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9126",
            "city": "CANOGA PARK",
            "state": "CA",
            "postal_code": "913090126",
            "telephone_number": "818-709-8161",
            "fax_number": "818-709-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38660 MEDICAL CENTER DR STE A150",
            "city": "PALMDALE",
            "state": "CA",
            "postal_code": "935514385",
            "telephone_number": "661-949-6946"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IAN RICHARD COOK, MD, APMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "IAN",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-780-9608",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A107528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palmdale, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.