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

Xander Jack Cooper

Individual provider Marriage & Family Therapist · NPI 1114403573

Xander Jack Cooper is a Marriage and Family Therapist in San Diego, California. Qualified in 2019, 7 years ago. Practices with Kab Medical Group Inc, a 15-clinician group, accepts Medicare assignment and offers telehealth.

Years since qualifying
7
In the registry since
2018
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Practice location Address checks out

1202 Morena Blvd Ste 300
San Diego, CA 92110-3844
Phone: (619) 276-8112
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence 130974

Record details

NPI number1114403573
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 18, 2018
Last updated in NPPESMay 9, 2022
Certification dateMay 9, 2022

Medicare enrollment

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

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Kab Medical Group Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in San Diego