MCKENNAN A COOK MD
NPI 1013570290
General Practice in Oceanside, CA

Active since April 15, 2019PECOS Enrolled
200 MERCY CIRCLE, OCEANSIDE, CA 92058(719) 725-1288 Get Directions Write a Review

NPPES record last updated: August 15, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 15, 2024, Apr 15, 2019 (2 updates tracked since 2019).

About Mckennan A Cook Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MCKENNAN A COOK MD (NPI 1013570290) is an individual general practice provider in Oceanside, California, licensed in Virginia (0101270505) and active in the NPI registry since April 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in San Diego.

NPPES Registry Identity

NPI1013570290
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameMCKENNAN A COOKCredential: MD
Location Address200 MERCY CIRCLEOceanside, CA 92058
Mailing AddressNmcsd 34800 Bob Wilson DriveSan Diego, CA 92134-3300 · (619) 881-9169
Sole ProprietorNo
Enumeration DateApril 15, 2019
Last NPPES UpdateAugust 15, 20242 updates tracked since enumeration
NPPES CertifiedAugust 14, 2024
NPI 1013570290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in VA · 0101270505
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
Also ListedMilitary Health Care ProviderTaxonomy 171000000X
200 MERCY CIRCLE, Oceanside, CA 92058

Secondary Practice Location 1

Location 1Nmcsd 34800 Bob Wilson DriveSan Diego, CA 92134-3300 · Phone (619) 881-9169

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Mckennan A Cook Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery
200 MERCY CIRCLE
OCEANSIDE, CA 92058
Family Medicine
200 MERCY CIRCLE, FAMILY MEDICINE DEPT
CAMP PENDLETON, CA 92058
Family Medicine
200 MERCY CIRCLE
CAMP PENDLETON, CA 92058
Physical Therapist
200 MERCY CIRCLE
OCEANSIDE, CA 92058
Pharmacist
200 MERCY CIRCLE
OCEANSIDE, CA 92058
Anesthesiology
200 MERCY CIRCLE
OCEANSIDE, CA 92058
Nurse Practitioner (Psychiatric/Mental Health)
200 MERCY CIRCLE
OCEANSIDE, CA 92058
Radiology (Diagnostic Radiology)
200 MERCY CIRCLE
OCEANSIDE, CA 92058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mckennan Cook's NPI number?

The NPI number for Mckennan Cook is 1013570290. It was assigned to this individual provider in the NPPES registry on April 15, 2019.

Where is Mckennan Cook located?

Mckennan Cook practices at 200 Mercy Circle, Oceanside, CA 92058. The listed phone number is (719) 725-1288.

What is Mckennan Cook's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Mckennan Cook enrolled in Medicare?

Yes. Mckennan Cook is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mckennan Cook was last updated on August 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.