Mitchell G Cohen, MD

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

G64294 Issued in CA

Practice address

20162 SW Birch St Ste 150
Newport Beach, CA 92660-0791

Phone

(949) 531-5653

NPI assigned

May 23, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1148342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585958400000",
    "number": "1114972874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20306 SPECTRUM",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183417",
            "telephone_number": "949-350-6992",
            "fax_number": "949-607-8855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20162 SW BIRCH ST STE 150",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926600791",
            "telephone_number": "949-531-5653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MITCHELL",
        "middle_name": "G",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-23",
        "last_updated": "2020-04-04",
        "certification_date": "2020-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "G64294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Coccaro, LMFT
• Rachel Pons Codde, AMFT
• Shelly Rose Coe, M.D.
• Cognoa, Inc.
• Michelle Zuliani Cohen, OTR/ L
• Sharon D Cohen, PH.D., LCSW
• Matthew David Cole, M.D.
• Colleen Linda Coleman, M.D.
• Nancy Colenbaugh, MFT
• Durval Colevati Garcia Netto

• Plastic Surgery Physician in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Plastic Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.