NPIMap

Individual provider Active NPI

Shariar Cohen-Gadol, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
National Provider Identifier
1013054865
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A88619 Issued in CA
Practice address
566 Saint Charles Dr
Thousand Oaks, CA 91360-3953
Phone
(805) 449-8781
Fax
(805) 449-4224
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Magnetic Resonance Imaging (MRI) Clinic/Center 261QM1200X
Rheumatology Physician 207RR0500X A88619 CA Primary

Addresses

Primary practice location

566 Saint Charles Dr
Thousand Oaks, CA 91360-3953

Mailing address

566 Saint Charles Dr
Thousand Oaks, CA 91360-3953
Phone (805) 449-8781

Other identifiers 1

IdentifierTypeStateIssuer
A88619OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070706000478 CA Practitioner - RheumatologyPractitioner - Internal Medicine 0547360463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

558 Saint Charles Dr
Suite 124
Thousand Oaks, CA 91360-3998
Phone (805) 449-8781

Hospital & facility affiliations

  • Access TLC Home Health Care Home health agency, San Fernando, CA, CCN 058366
  • Northridge Hospital Medical Center Hospital, Northridge, CA, CCN 050116
  • Adventist Health Simi Valley Hospital, Simi Valley, CA, CCN 050236
  • Los Robles Hospital & Medical Center Hospital, Thousand Oaks, CA, CCN 050549
  • St Johns Regional Medical Center Hospital, Oxnard, CA, CCN 050082
  • Community Memorial Hospital - Ventura Hospital, Ventura, CA, CCN 050394

Merit-based Incentive Payment System (MIPS)

Final score
88.66 of 100Reported as individual
Quality
95
Improvement activities
40
Cost
68.88

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Eshaghian MD Inc CurrentSince Sep 1, 2025 Accepting new patients
Shariar Cohen MD Corp Rheumatology CurrentSince Apr 2, 2009 Accepting new patients
Motion Picture and Television Fund Medical Group, Inc Past Accepting new patients
Mahyar Okhovat, M.D. Inc PastSince Jun 2, 2009 Accepting new patients
Lawrence P. McAdam, M.D., Medical Corporation Rheumatology Past Accepting new patients
Miracle Women'S Medical Group Inc Past Accepting new patients
Los Robles Regional Medical Center Past Accepting new patients
Shariar Cohen, M.D., Corp. Past Accepting new patients
Shariar Cohen MD Corp Rheumatology Past Accepting new patients

Locations

18556 Ventura Blvd
Tarzana, CA 91356
Phone (818) 287-0010

558 Saint Charles Dr
Ste 110
Thousand Oaks, CA 91360
Phone (805) 449-8781

558 Saint Charles Dr
Ste 124
Thousand Oaks, CA 91360
Phone (805) 449-8781

566 Saint Charles Dr
Thousand Oaks, CA 91360
Phone (805) 449-8781

558 Saint Charles Dr
Ste 111
Thousand Oaks, CA 91360
Phone (805) 230-2700

7100 Van Nuys Blvd
Ste 113
Van Nuys, CA 91405
Phone (818) 784-4100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EDGDAD/Endpoint/EDGDAD

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628726400000",
    "number": "1013054865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 SAINT CHARLES DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603953",
            "telephone_number": "805-449-8781",
            "fax_number": "805-449-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 SAINT CHARLES DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603953",
            "telephone_number": "805-449-8781",
            "fax_number": "805-449-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN-GADOL",
        "first_name": "SHARIAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A88619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A88619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

Verify at the official NPI Registry.