AMANDA COOPER
NPI 1790474773
Pediatrics in Oakland, CA

Q: What is Amanda Cooper's NPI number?

The NPI number for Amanda Cooper is 1790474773. It was assigned to this individual provider in the NPPES registry on May 4, 2023.

Q: What is Amanda Cooper's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Amanda Cooper was last updated on October 21, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since May 04, 2023PECOS Enrolled

3600 BROADWAY, OAKLAND, CA 94611(510) 752-1000 Get Directions Write a Review

NPPES record last updated: October 21, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Amanda Cooper NPPES

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

AMANDA COOPER (NPI 1790474773) is an individual pediatrics provider in Oakland, California, licensed in California (A199942) and active in the NPI registry since May 2023. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790474773

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameAMANDA COOPER

Location Address3600 BROADWAYOakland, CA 94611-5730

Mailing Address3600 BroadwayOakland, CA 94611-5730 · (510) 752-1000

Phone(510) 752-1000

Sole ProprietorNo

Enumeration DateMay 4, 2023

Last NPPES UpdateOctober 21, 2025

NPPES CertifiedOctober 21, 2025

✔ NPI 1790474773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in CA · A199942

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

3600 BROADWAY, Oakland, CA 94611

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Cooper 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 94611 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

$104.51 typical visit price

range $69.00 – $202.35

Typical copayment $26.12 (range $17.25 – $50.58)

Most-billed visit code 99203

Established Patient

$119.48 typical visit price

range $23.44 – $166.46

Typical copayment $29.87 (range $5.86 – $41.61)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.