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

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1467903021

Shannon Cooper, MD is a Student in an Organized Health Care Education/Training Program in Santa Maria, California. Practices as a sole proprietor. Licensed in California and Michigan.

Licensed in
CA, MI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1400 E Church St
Santa Maria, CA 93454-5906
Phone: (805) 739-3000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence A175927 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X · Licence 4301115363 (MI)

Record details

NPI number1467903021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedOctober 19, 2016
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address1400 E Church St, Santa Maria, CA 93454-5906

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