MR. JASON ROBERT COOK (NPI# 1831227610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831227610 |
| Entity Type | Individual |
| Full Name | MR. JASON ROBERT COOK |
| Credential | M.S., PA-C |
| Practice Address |
2720 N Harbor Blvd Suite 130 Fullerton CA 92835-2609 |
| Mailing Address |
701 Colusa Dr Walnut CA 91789-4526 |
| Practice Telephone | 7144496200 |
| Mailing Telephone | 4152992273 |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2014-09-30 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
PA18459 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA18459 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | PA LICENSE NUMBER | PA18459 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013398239 | Jason Eugene Cook | Counselor | 540 Greenhaven Rd Ste 204, Anoka, MN 55303-1675 | 2015-06-12 |
| 1174678932 | Jason Andrew Hoover Cook | General Practice | 14712 Victor Hugo Blvd., Suite 4, Hugo, MN 55038-9458 | 2007-01-24 |
| 1023031705 | Jason E Cook | Chiropractor | 12 W Commercial Ste A, Inola, OK 74036-0938 | 2006-07-25 |
| 1972565802 | Jason Wave Cook | Optometrist | 600 Leighton Ave, Anniston, AL 36207-5744 | 2006-04-05 |
| 1043283641 | Jason T. Cook | Psychologist | 7230 Engle Rd, Ste 304, Fort Wayne, IN 46804-2209 | 2006-02-13 |
| 1316558042 | Jason Richard Cook I | Pharmacist | 102 N 1200 E, Lehi, UT 84043-2294 | 2020-08-14 |
| 1558742486 | Jason Rhede Cook | Surgery | Emile @ 42nd St, Omaha, NE 68198-0001 | 2015-06-16 |
| 1578994034 | Jason Cook | Dentist | 36 Aspen Way, Watsonville, CA 95076-3084 | 2013-12-10 |
| 1902244692 | Jason Alexander Cook | Internal Medicine | 1250 E Marshall St, Internal Medicine, Richmond, VA 23298-5051 | 2013-06-05 |
| 1053684969 | Jason Scott Cook | Speech-Language Pathologist | 2900 Woodridge Dr Ste 300, Houston, TX 77087-2506 | 2012-02-23 |
| Street Address |
2720 N HARBOR BLVD SUITE 130 |
| City | FULLERTON |
| State | CA |
| Zip Code | 92835-2609 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588664916 | Jonathan Anderson | Family Medicine | 2720 N Harbor Blvd, Suite 200, Fullerton, CA 92835 | 2005-07-28 |
| 1154936011 | Advanced Skincare, A Professional Corp. | Physician Assistant | 2720 N Harbor Blvd, Fullerton, CA 92835-2609 | 2020-09-08 |
| 1629314521 | Darshana Patel | Physician Assistant | 2720 N Harbor Blvd, Ste 130, Fullerton, CA 92835-2609 | 2012-12-20 |
| 1679879696 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 200, Fullerton, CA 92835-2609 | 2011-02-09 |
| 1588960504 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 220, Fullerton, CA 92835-2609 | 2011-02-09 |
| 1396041315 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 300, Fullerton, CA 92835-2609 | 2011-02-09 |
| 1023314044 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835-2609 | 2011-02-09 |
| 1619273059 | St Jude Hospital Yorba Linda | Durable Medical Equipment & Medical Supplies | 2720 N Harbor Blvd, Suite 100, Fullerton, CA 92835-2609 | 2011-02-02 |
| 1538488101 | Bo Song | Physician Assistant | 2720 N Harbor Blvd, Suite 130, Fullerton, CA 92835-2609 | 2010-05-21 |
| 1023272309 | Khaled Mahmoud Hassan | Dermatology | 2720 N Harbor Blvd, Ste 220, Fullerton, CA 92835-2609 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538774302 | Natalie Baugh | Nutritionist | 333 W Bastanchury Rd 110, Fullerton, CA 92835 | 2020-09-09 |
| 1073127098 | Cecile Mae Sam | Physical Therapist | 2932 Clover Ct, Fullerton, CA 92835 | 2020-09-08 |
| 1861966087 | Kimson F Johnston | Marriage & Family Therapist | 1370 Brea Blvd Suite 210, Fullerton, CA 92835 | 2019-01-22 |
| 1134636327 | Michelle Harriman, Psychologist - A Professional Corporation | Psychologist | 1440 N Harbor Blvd Ste 808, Fullerton, CA 92835 | 2018-01-09 |
| 1659818631 | Jacqueline Rene Miller | Specialist/Technologist | 2610 Associated Rd, Apt A4, Fullerton, CA 92835 | 2017-01-27 |
| 1912361106 | John Nathaniel Alvarez | Psychiatry & Neurology | 401 E Imperial Highway, Fullerton, CA 92835 | 2016-04-13 |
| 1083075030 | Advance Recovery Solution, LLC | Substance Abuse Rehabilitation Facility | 3744 N Hermosa Pl, Fullerton, CA 92835 | 2016-03-17 |
| 1467817981 | Michele Ledesma | Physical Therapy Assistant | 2800 N. Harbor Blvd., Fullerton, CA 92835 | 2015-12-29 |
| 1467820571 | Jonghan Kang | Acupuncturist | 1321 N Harbor Blvd Ste 205, Fullerton, CA 92835 | 2015-09-04 |
| 1265840987 | Allison Leigh Kennedy | Physician Assistant | 100 Laguna Rd Ste 208, Fullerton, CA 92835 | 2014-07-25 |
| Find all providers in zip 92835 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861581563 | Roger William Skebelsky | Physician Assistant | 100 E Valencia Mesa Drive, 310, Fullerton, CA 92835 | 2006-10-12 |
| 1013487883 | Austin James Perkins | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2018-12-04 |
| 1346716842 | Charles Alexandre Greener | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2018-10-23 |
| 1558897413 | Marie Katherine Mulcock | Physician Assistant | 801 E Chapman Ave Ste 203, Fullerton, CA 92831-3846 | 2017-05-11 |
| 1952589459 | May Majied Ali | Physician Assistant | 100 E Valencia Mesa Dr, Suite 311, Fullerton, CA 92835-3813 | 2008-02-06 |
| 1275742462 | Carrie-anne Clark | Physician Assistant | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 | 2007-05-22 |
| 1174731640 | Dennis Wayne Briley | Physician Assistant | 100 E Valencia Mesa Dr, Suite 105, Fullerton, CA 92835-3813 | 2007-05-18 |
| 1588872089 | Carrie M Carrillo | Physician Assistant | 2141 N Harbor Blvd Ste 35000, Fullerton, CA 92835-3831 | 2007-05-18 |
| 1205889326 | William Charles Andrew Hall | Physician Assistant | 2141 N Harbor Blvd, Suite 35000, Fullerton, CA 92835 | 2006-05-18 |
| 1912961038 | Grace Jin Lee | Physician Assistant | 1950 Sunnycrest Dr, Suite 2600, Fullerton, CA 92835-3638 | 2006-04-14 |
| Find all providers in FULLERTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.