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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SHELBY COOPER PA-C
NPI 1417755323
Physician Assistant in Lake Forest, CA

Active since March 05, 2025PECOS Enrolled
22481 ASPAN ST STE A, LAKE FOREST, CA 92630(949) 240-2272(949) 429-7607 Get Directions Write a Review

NPPES record last updated: September 1, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Sep 1, 2026, Aug 8, 2025, Mar 5, 2025 (3 updates tracked since 2025).

About Shelby Cooper Pa-c NPPES

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

SHELBY COOPER PA-C (NPI 1417755323) is an individual physician assistant in Lake Forest, California, licensed in California (PA65766) and active in the NPI registry since March 2025. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1417755323
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameSHELBY COOPERCredential: PA-C
Location Address22481 ASPAN ST STE ALake Forest, CA 92630-1648
Mailing Address22481 Aspan StLake Forest, CA 92630-1651 · (949) 240-2272
Phone(949) 240-2272
Fax(949) 429-7607
Sole ProprietorNo
Enumeration DateMarch 5, 2025
Last NPPES UpdateSeptember 1, 20263 updates tracked since enumeration
NPPES CertifiedSeptember 1, 2026
✔ NPI 1417755323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA65766
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
22481 ASPAN ST STE A, Lake Forest, CA 92630
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Other Names 1

Former Name (1)Shelby Hart

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Shelby Cooper Pa-c 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92630 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 6

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

RACHEL SOLTANI
Nurse Practitioner (Family)
22481 ASPAN ST STE A
LAKE FOREST, CA 92630
Orange County (949) 240-2272
CAMINO HEALTH CENTER
Clinic/Center (Federally Qualified Health Center (FQHC))
22481 ASPAN ST STE A
LAKE FOREST, CA 92630
Orange County (949) 240-2030
SELENIA SARINA CORADO MPA, PA-C
Physician Assistant (Medical)
22481 ASPAN ST STE A
LAKE FOREST, CA 92630
Orange County (949) 240-2272
GERTRUDE CHANCELLOR FNP-BC
Family Medicine
22481 ASPAN ST STE A
LAKE FOREST, CA 92630
Orange County (949) 240-2272
DR. CARRIE J. DIRAMIO MD
Family Medicine
22481 ASPAN ST STE A
LAKE FOREST, CA 92630
Orange County (949) 240-2272
SHAIRANI SUBARAJAN DO
Family Medicine
22481 ASPAN ST STE A
LAKE FOREST, CA 92630
Orange County (949) 240-2272

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 Shelby Cooper's NPI number?

The NPI number for Shelby Cooper is 1417755323. It was assigned to this individual provider in the NPPES registry on March 5, 2025. The provider is also known as Shelby Hart.

Where is Shelby Cooper located?

Shelby Cooper practices at 22481 Aspan St Ste A, Lake Forest, CA 92630. The listed phone number is (949) 240-2272.

What is Shelby Cooper's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shelby Cooper enrolled in Medicare?

Yes. Shelby Cooper is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Shelby Cooper was last updated on September 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 days 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.