Individual provider Active NPI

Robyn Grossman Cohen, MD

  • Ophthalmology Physician
  • La Jolla, CA
National Provider Identifier
1093816423
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G26275 Issued in CA
Practice address
9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1221
Phone
(858) 457-4090
Fax
(858) 457-1543
NPI assigned
Sep 26, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G26275 CA Primary

Addresses

Primary practice location

9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1221

Mailing address

9834 Genesee Avenue
Suite 315
La Jolla, CA 92037-1221
Phone (858) 457-4090

Other identifiers 2

IdentifierTypeStateIssuer
OOG838030MedicaidCA
180041162OtherRAILROAD MEDICARE

Other names 1

  • Dr. Robyn Grossman Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100222000490 CA Practitioner - Ophthalmology 9537203005

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G26275CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Scripps Health Current Accepting new patients
San Diego Vitreoretinal Associates Ophthalmology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rcohen321083@scrippshlth.medalliesdirect.net
  • Direct secure messaging: robyn.cohen.1@14863.direct.athenahealth.com

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1159228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093816423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371221",
            "telephone_number": "858-457-4090",
            "fax_number": "858-457-1543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9834 GENESEE AVENUE",
            "address_2": "SUITE 315",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371221",
            "telephone_number": "858-457-4090",
            "fax_number": "858-457-1543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROBYN",
        "middle_name": "GROSSMAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-26",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G26275",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OOG838030",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "180041162",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBYN",
            "last_name": "GROSSMAN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in La Jolla, CA

Sources for this page

Verify at the official NPI Registry.