Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Wantzy Cooper, DO

Individual provider Emergency Medicine Physician · NPI 1942383393

Dr. Wantzy Cooper, DO is a Vascular Surgery in Needles, California. Graduated from College of Osteo Med of the Pacific at Pomona in 1996, 30 years ago. Accepts Medicare assignment. Licensed in Arizona, California and New Jersey.

Years since qualifying
30
Trained at
College of Osteo Med of the Pacific at Pomona
Licensed in
AZ, CA, NJ
In the registry since
2006
Specialties on file
6
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1401 Bailey Ave Bldg 1
Needles, CA 92363-3103
Phone: (760) 590-0155
Fax: (760) 323-7134
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular Surgery Physician (primary) Taxonomy 2086S0129X · Licence 005530 (AZ)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 14611 (CA)
Surgery Physician Taxonomy 208600000X · Licence MB74255 (NJ)
Vascular Surgery Physician Taxonomy 2086S0129X · Licence 14611 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 14611 (CA)
General Practice Physician Taxonomy 208D00000X · Licence 005530 (AZ)

Record details

NPI number1942383393
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedOctober 21, 2006
Last updated in NPPESApril 8, 2024
Certification dateApril 8, 2024
Mailing addressPo Box 9893, Fort Mohave, AZ 86427-9893

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyVASCULAR SURGERY
Also practisesEMERGENCY MEDICINE, FAMILY PRACTICE, GENERAL PRACTICE, INTERVENTIONAL PAIN MANAGEMENT
Medical schoolCOLLEGE OF OSTEO MED OF THE PACIFIC AT POMONA
Graduated 1996 (30 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Needles