| Dr Jay M Cooper, MD | |
|
300 Canal St, Suite B, King City, CA 93930-3431 | |
| (831) 385-1280 | |
| (831) 385-1285 |
| Full Name | Dr Jay M Cooper |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 31 Years |
| Location | 300 Canal St, King City, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558341891 | NPI | - | NPPES |
| 00A690420 | Other | CA | BLUE SHIELD PIN |
| 00A690420 | Medicaid | CA | |
| 9416832 | Other | PHCS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A69042 (California) | Secondary |
| 208M00000X | Hospitalist | A69042 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Marian Regional Medical Center | Santa maria, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Rural Physicians Group Pc | 2062767148 | 7 |
| Southern Monterey County Memorial Hospital | 7719883461 | 29 |
| Central Coast In-patient Consultants Inc | 8325137714 | 32 |
| Entity Name | Southern Monterey County Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1114917564 PECOS PAC ID: 7719883461 Enrollment ID: O20050216000803 |
| Entity Name | Central Coast In-patient Consultants Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609096882 PECOS PAC ID: 8325137714 Enrollment ID: O20071207000854 |
| Entity Name | Rural Physicians Group Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1730682394 PECOS PAC ID: 2062767148 Enrollment ID: O20180613000951 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Jay M Cooper, MD Po Box 667, King City, CA 93930-0667 Ph: (831) 385-1280 | Dr Jay M Cooper, MD 300 Canal St, Suite B, King City, CA 93930-3431 Ph: (831) 385-1280 |
Joshua Lawrence Deutsch, Hospitalist Medicare: Accepting Medicare Assignments Practice Location: 300 Canal St, King City, CA 93930 Phone: 831-385-6000 |