Active NPI
Samantha Claire Lewis Cohen, M.D.
- Developmental - Behavioral Pediatrics Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- A110987
- Practice address
- 4036 3Rd Ave
San Diego, CA 92103-2102 - Phone
- (619) 320-8696
- Fax
- (626) 314-5242
- NPI assigned
- Dec 2, 2010
- Last updated
- Mar 23, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | A110987 | CA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | A110987 | CA | Primary |
Addresses
Primary practice location
4036 3Rd Ave
San Diego, CA 92103-2102
Mailing address
1612 32ND St
San Diego, CA 92102-1608
Phone (626) 825-0927
Other practice location 1
700 2nd St Ste H
Encinitas, CA 92024-4459
Phone (619) 320-8696
Other names 1
- Miss Samantha Claire Lewis
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A110987 | CA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Samantha Cohen, MD, Inc. | Developmental - Behavioral Pediatrics | Current | Accepting new patients |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Luis Alesandro Larrazabal Martinez MD PC | Pediatrics | Past | Accepting new patients |
Locations
700 2nd St
Ste H
Encinitas, CA 92024
Phone (619) 320-8696
393 E Walnut St
Fl 3
Pasadena, CA 91188
Phone (626) 405-7914
3405 Kenyon St
Ste 210
San Diego, CA 92110
4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038
Organizations & group practices 5
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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Developmental - Behavioral Pediatrics Physician
- San Diego, CA
- NPI 1245074061
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
dba Clarity Pediatrics Medical Group
- Pediatrics Physician
- San Francisco, CA
- NPI 1649910589
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291248000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1774224000000",
"number": "1174825731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 32ND ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921021608",
"telephone_number": "626-825-0927",
"fax_number": "626-314-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 3RD AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032102",
"telephone_number": "619-320-8696",
"fax_number": "626-314-5242"
}
],
"practiceLocations": [
{
"address_1": "700 2nd St Ste H",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920244459",
"country_code": "US",
"telephone_number": "619-320-8696",
"fax_number": "626-314-5242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "SAMANTHA",
"middle_name": "CLAIRE LEWIS",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-12-02",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "A110987",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "A110987",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SAMANTHA",
"last_name": "LEWIS",
"middle_name": "CLAIRE",
"prefix": "MISS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.