Melvin S Cohen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A28701 Issued in CA

Practice address

3043 Monterey Rd
San Marino, CA 91108-1773

Phone

(626) 799-1584

NPI assigned

Dec 5, 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

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Baj Management, Inc.

  • Assisted Living Facility (Behavioral Disturbances)
  • South Pasadena, CA
  • NPI 1972906584
  NPD (past)

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

{
    "created_epoch": "1165276800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1194883462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3043 MONTEREY RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081773",
            "telephone_number": "626-799-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3043 MONTEREY RD",
            "city": "SAN MARINO",
            "state": "CA",
            "postal_code": "911081773",
            "telephone_number": "626-799-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "MELVIN",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-05",
        "last_updated": "2023-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A28701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A287010",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENCE NUMBER",
            "identifier": "A28701",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Claudia Rosenberg, PHD Licensed Clinical Social Worker PC
• Clinica Medica San Miguel Ipa, a Medical Group, Inc.
• Clinical Dietitian Solutions, LLC
• Sam Cohen Paz, MA, JD
• Amie Alonzo Cohen, AGPCNP-BC
• Rebekah Ponce Cohen, M.S., CCC-SLP
• Louis Kenneth Countryman, M.D.
• Ryan R Courdy, M.D.
• Brandon V. Cuccia, DDS
• Cynthia P. Diep D.D.S., Inc.

• All providers in San Marino, CA
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.