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

NICHOLAS MICHAEL COOPER RN
NPI 1932925831
Nurse Practitioner - Psychiatric/Mental Health in San Diego, CA

Q: What is Nicholas Cooper's NPI number?

The NPI number for Nicholas Cooper is 1932925831. It was assigned to this individual provider in the NPPES registry on November 25, 2024.

Q: What is Nicholas Cooper's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Q: When was this NPI record last updated?

The NPPES record for Nicholas Cooper was last updated on September 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 29 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.

Active since November 25, 2024

4309 3RD AVE, SAN DIEGO, CA 92103(619) 876-4502 Get Directions Write a Review

NPPES record last updated: September 3, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

Record update history: Sep 3, 2026, Aug 21, 2026 (2 updates tracked since 2026).

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About Nicholas Michael Cooper Rn NPPES

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

NICHOLAS MICHAEL COOPER RN (NPI 1932925831) is an individual psychiatric/mental health provider in San Diego, California, licensed in California (95041195) and active in the NPI registry since November 2024.

NPPES Registry Identity

NPI1932925831

Entity TypeIndividualMale

Primary Taxonomy363LP0808X

Provider Legal NameNICHOLAS MICHAEL COOPERCredential: RN

Location Address4309 3RD AVESan Diego, CA 92103-1407

Mailing Address6490 Ambrosia Dr Apt 5108San Diego, CA 92124-5107 · (407) 406-7071

Phone(619) 876-4502

Sole ProprietorNo

Enumeration DateNovember 25, 2024

Last NPPES UpdateSeptember 3, 20262 updates tracked since enumeration

NPPES CertifiedSeptember 3, 2026

✔ NPI 1932925831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

License✔ Licensed in CA · 95041195

Also ListedRegistered NurseTaxonomy 163W00000X · License 95360729 (CA)

4309 3RD AVE, San Diego, CA 92103

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Other Providers at the Same Location NPPES 20

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

MICHELLE WILLIAMS RN

Registered Nurse (Psychiatric/Mental Health, Child & Adolescent)