Matthew D Cooper a Professional Corporation

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MATTHEW D COOPER A PROFESSIONAL CORPORATION

Practice address

1084 N El Camino Real Ste B385
Encinitas, CA 92024-1334

Phone

(619) 997-8425

NPI assigned

Feb 6, 2023

Organization subpart

No

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

Authorized official

Name

Chauntay Cross

Title

Billing Administrator

Phone

(951) 527-5660

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Matthew D Cooper, M.D.

  • Surgery Physician
  • La Jolla, CA
  • NPI 1528353190
  Medicare reassignment
• Collin Silas Smith, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Poway, CA
  • NPI 1801223896
  NPD (past)

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675814400000",
    "number": "1932805553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1084 N EL CAMINO REAL STE B385",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1084 N EL CAMINO REAL STE B385",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920241334",
            "telephone_number": "619-997-8425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MATTHEW D COOPER A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-08",
        "certification_date": "2023-02-08",
        "status": "A",
        "authorized_official_last_name": "CROSS",
        "authorized_official_first_name": "CHAUNTAY",
        "authorized_official_title_or_position": "BILLING ADMINISTRATOR",
        "authorized_official_telephone_number": "951-527-5660"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A133250",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Richard Kemp Massengill, M.D.
• Marissa S Massimini, LMFT
• Robert Matorin, M.D.
• Matru-Sparsh Acupuncture Heath and Wellness Clinic Inc
• Judith Matson, PH.D.
• Matthew Daniel, D.P.M Inc.
• Matthew Jarvinen PH.D., Inc., a Psychological Corporation
• Matthew Schultzel DO and Douglas Sullivan PC
• Jaclyn Matthews
• Brittany Samantha Mattia, FNP-C

• Surgery Physician in Encinitas, CA
• Providers in Encinitas, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2023; 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.