ZACHARY A. COOPER MD A PROFESSIONAL CORP
NPI 1275651630
Dermatology in Sonora, CA
About Zachary A. Cooper Md A Professional Corp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
ZACHARY A. COOPER MD A PROFESSIONAL CORP (NPI 1275651630) is a healthcare organization registered as a dermatology in Sonora, California and active in the NPI registry since March 2007. The organization lists Zachary Cooper, President Of Corporation, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Zachary A. Cooper Md A Professional Corp is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Zachary A. Cooper MD A Professional Corp, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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 Zachary A. Cooper MD A Professional Corp's NPI number?
The NPI number for Zachary A. Cooper MD A Professional Corp is 1275651630. It was assigned to this organization in the NPPES registry on March 26, 2007.
Where is Zachary A. Cooper MD A Professional Corp located?
Zachary A. Cooper MD A Professional Corp is located at 19933 Greenley Rd # C, Sonora, CA 95370. The listed phone number is (209) 536-0505.
What is Zachary A. Cooper MD A Professional Corp's specialty?
The primary specialty registered for this NPI is Dermatology with taxonomy code 207N00000X.
Is Zachary A. Cooper MD A Professional Corp enrolled in Medicare?
Yes. Zachary A. Cooper MD A Professional Corp is registered in the Medicare PECOS enrollment system.
When is Zachary A. Cooper MD A Professional Corp's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (California, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Zachary A. Cooper MD A Professional Corp?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Zachary A. Cooper MD A Professional Corp, in Dermatology and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Zachary A. Cooper MD A Professional Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.
# Zachary A. Cooper Md A Professional Corp · NPI 1275651630
Dermatology organization in Sonora, California. Organization record, active in the CMS NPPES registry since March 26, 2007.
## Identity
- **NPI:** 1275651630 (Entity type: Organization)
- **Enumerated:** March 26, 2007
- **Primary specialty:** Dermatology · taxonomy 207N00000X
- **Organization subpart:** No
- **Authorized official:** Zachary Cooper, PRESIDENT OF CORPORATION
## Practice location
- **Address:** 19933 GREENLEY RD # C, Sonora, CA 95370-5996
- **Phone:** (209) 536-0505 · **Fax:** (209) 536-0506
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, California, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians in 2 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Dermatology (1), Nurse Practitioner (1); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 22, 2020
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Source: [NPI Profile](https://npiprofile.com/npi/1275651630) · Data from the CMS NPPES public registry.