Dr. Collin E Cooper , MD
Specialist • Glendale, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Collin Cooper has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Collin Cooper, MD was a registered Specialist practicing in Glendale, CA. Throughout an active medical career spanning 19 years, Dr. Cooper provided care at the practice location at 1818 VERDUGO BLVD until profile deactivation on 2025-04-10.
Historical Medicare Part B clinical services included established patient outpatient office visit, administration of influenza virus vaccine, annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit. Public procedure reimbursement records and service volume details are provided below for historical transparency.
Practice Location & Contact Primary Location
1818 Verdugo Blvd
108
Glendale, CA 912081403
Specialty Benchmarks & Practice Insights
Comparative analytics for Specialist in Glendale, CA
Practicing in Glendale, CA (6446 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Performed Procedures & Service Volume
Top Medicare Part B procedures performed by this practitioner
| HCPCS Code & Description | Services | Patients | Submitted Charge | Medicare Allowed |
|---|---|---|---|---|
|
99213
Established patient office or other outpatient visit, typically 15 minutes
|
132 | 71 | $100.00 | $80.16 |
Medical Specialties & State Licenses
NUCC Taxonomy Code: 174400000X
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Internal Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Osteopathic Medicine (D.O.)
Internal Medicine
Doctor of Medicine (M.D.)
Nurse Practitioner - Family
MSNFNPBC
Family Medicine
Doctor of Medicine (M.D.)
Family Medicine
Doctor of Medicine (M.D.)
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on April 10, 2025
NPI status registered as active in NPPES database
Registered at 1818 VERDUGO BLVD, 108, GLENDALE, CA 912081403 (Tel: 8187901145)
Registered at 1818 VERDUGO BLVD, 108, GLENDALE, CA 912081403 (Tel: 8187901145)
Recorded as COLLIN COOPER, MD
Specialist (License #G5591 in CA)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
1818 Verdugo Blvd, 108
Glendale, CA 912081403
Phone: 8187901145
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