SUSAN E. COCKE (NPI# 1861540775) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861540775 |
| Entity Type | Individual |
| Full Name | SUSAN E. COCKE |
| Credential | MD |
| Practice Address |
955 W Imperial Hwy Ste 110 Brea CA 92821 |
| Mailing Address |
955 W Imperial Hwy Ste 110 Brea CA 92821-3814 |
| Practice Telephone | 7145796826 |
| Practice Fax Number | 7145796890 |
| Mailing Telephone | 7145796826 |
| Mailing Fax Number | 7145796890 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-10-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207KA0200X |
Allergy & Immunology Specialization: Allergy |
A48996 | CA | Allopathic & Osteopathic Physicians |
| Street Address |
955 W IMPERIAL HWY STE 110 |
| City | BREA |
| State | CA |
| Zip Code | 92821 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518967140 | Anne Ford | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-07-26 |
| 1518194612 | Fouzia Asif | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2009-06-16 |
| 1447308341 | Debra Lynn Gutierrez | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2007-01-08 |
| 1104894286 | Royce Lewis Hutain | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2006-03-14 |
| 1760479992 | Alexandra Duke | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-10-03 |
| 1760478606 | Christian Lising | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-09-26 |
| 1093700064 | Paulynne P Liang | Internal Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-09-15 |
| 1902807670 | Robert Ranney | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-08-03 |
| 1861493736 | Bruce Mutter | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-08-02 |
| 1750382628 | Andrew Lindsay Morrison | Family Medicine | 955 W Imperial Hwy Ste 110, Brea, CA 92821-3814 | 2005-08-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043844921 | Christina Marie Iezza | Physical Medicine & Rehabilitation | 500 W. Central Ave, Suite B, Brea, CA 92821 | 2020-02-28 |
| 1962052068 | Joanne Chung | Behavioral Analyst | 3050 Saturn Street, #102, Brea, CA 92821 | 2019-09-19 |
| 1508336736 | Sonia Montez | Physical Therapy Assistant | Jump N Schout, 500 W Central Ave, Brea, CA 92821 | 2018-11-30 |
| 1215411921 | Eye View Optometry, Inc | Optometrist | 605 E. Imperial Hwy, Suite C, Brea, CA 92821 | 2018-09-18 |
| 1700395480 | Sheetal Patel | Registered Nurse | 955 W. Imperial Hwy., Suite 220, Brea, CA 92821 | 2017-09-25 |
| 1952827826 | Grace Cho | Occupational Therapist | 875 N Brea Blvd # 600, Brea, CA 92821 | 2017-08-22 |
| 1063959781 | Veronica Meza | Lactation Consultant, Non-RN | 551 Discovery Lane, #115, Brea, CA 92821 | 2017-01-20 |
| 1780045815 | Audrey Alva | Specialist/Technologist | 460 W. Lambert Road, Brea, CA 92821 | 2016-03-17 |
| 1558734921 | Eun Kim Chiropractic Inc | Chiropractor | 411 Atlas Street, Suite A, Brea, CA 92821 | 2015-11-07 |
| 1053784512 | Caremore Health Plan | Nurse Practitioner | 420 W. Central Avenue #a, Brea, CA 92821 | 2015-11-05 |
| Find all providers in zip 92821 | ||||
| Taxonomy Code | 207KA0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Allergy & Immunology |
| Specialization | Allergy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366078743 | Rhonda J. Myers, M.d. | Allergy & Immunology | 4902 Irvine Center Dr Ste 108, Irvine, CA 92604-3334 | 2020-03-18 |
| 1063903201 | Nisha Ann Roy | Allergy & Immunology | 1923 Coffee Rd Ste 12, Modesto, CA 95355-2708 | 2018-05-23 |
| 1619472024 | Professional Diagnostic Solutions Inc | Allergy & Immunology | 16940 Chatsworth St Unit 303, Granada Hills, CA 91344-5864 | 2018-03-27 |
| 1528570678 | Dossier Health Management | Allergy & Immunology | 138 N Brand Blvd Ste 200-106, Glendale, CA 91203-4614 | 2017-10-30 |
| 1467805358 | James Patrick Kemp | Allergy & Immunology | 15904 Cuyamaca Forest Rd, Julian, CA 92036-9641 | 2016-07-15 |
| 1528426053 | Allergy Asthma Sinusitis Medical Clinic Inc Divyang Trivedi | Allergy & Immunology | 11832 Rosecrans Ave # 200, Norwalk, CA 90650-4107 | 2016-01-28 |
| 1932564879 | Tri Valley Allergy | Allergy & Immunology | 1038 Murrieta Blvd Ste B, Livermore, CA 94550-4151 | 2015-12-18 |
| 1881074748 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1853 Lander Ave, Turlock, CA 95380-6240 | 2015-06-05 |
| 1265812119 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1923 Coffee Road, 12c, Modesto, CA 95355-2708 | 2015-06-05 |
| 1972983815 | Baz Allergy, Asthma & Sinus Center, Inc. | Allergy & Immunology | 1415 Badger Flat Rd, A, Los Banos, CA 93635-8600 | 2015-06-05 |
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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.