DR. JACQUELINE ELISE COOTES
NPI 1578283321
Dentist - General Practice in San Pedro, CA

Active since August 31, 2022
732 W 9TH ST STE 204, SAN PEDRO, CA 90731(310) 833-1386 Get Directions Write a Review

NPPES record last updated: May 1, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 1, 2023, Aug 31, 2022 (2 updates tracked since 2022).

About Dr. Jacqueline Elise Cootes NPPES

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

DR. JACQUELINE ELISE COOTES (NPI 1578283321) is an individual general practice provider in San Pedro, California, licensed in California (107943) and active in the NPI registry since August 2022.

NPPES Registry Identity

NPI1578283321
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameDR. JACQUELINE ELISE COOTES
Location Address732 W 9TH ST STE 204San Pedro, CA 90731-3629
Mailing Address42 Eastfield DrRolling Hills, CA 90274-5262 · (310) 293-9985
Sole ProprietorYes
Enumeration DateAugust 31, 2022
Last NPPES UpdateMay 1, 20232 updates tracked since enumeration
NPPES CertifiedApril 30, 2023
NPI 1578283321 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in CA · 107943
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
732 W 9TH ST STE 204, San Pedro, CA 90731

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

Dentist (General Practice)
732 W 9TH ST STE 204
SAN PEDRO, CA 90731
Dentist (General Practice)
732 W 9TH ST STE 204
SAN PEDRO, CA 90731

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 Jacqueline Cootes's NPI number?

The NPI number for Jacqueline Cootes is 1578283321. It was assigned to this individual provider in the NPPES registry on August 31, 2022.

Where is Jacqueline Cootes located?

Jacqueline Cootes practices at 732 W 9th St Ste 204, San Pedro, CA 90731. The listed phone number is (310) 833-1386.

What is Jacqueline Cootes's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Jacqueline Cootes was last updated on May 1, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.