Organization Active NPI

Gordon R. Cohen, M.D., Inc.

  • Psychiatry Physician
  • San Jose, CA
National Provider Identifier
1194932715
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
C25141 Issued in CA
Legal business name
GORDON R. COHEN, M.D., INC.
Practice address
1570 The Alameda
#228
San Jose, CA 95126-2330
Phone
(408) 293-3888
Fax
(408) 293-1029
NPI assigned
May 16, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Cordon Richard Cohen, M.D.
Title
Owner
Phone
(408) 293-3888

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2084P0800X C25141 CA Primary

Addresses

Primary practice location

1570 The Alameda
#228
San Jose, CA 95126-2330

Mailing address

1570 The Alameda
#228
San Jose, CA 95126-2330
Phone (408) 293-3888

Other identifiers 1

IdentifierTypeStateIssuer
1992842694OtherCANPI

National Provider Directory

National Provider Directory

Locations

1570 The Alameda
Ste 228
San Jose, CA 95126
Phone (408) 293-3888

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194932715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA",
            "address_2": "#228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262330",
            "telephone_number": "408-293-3888",
            "fax_number": "408-293-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1570 THE ALAMEDA",
            "address_2": "#228",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951262330",
            "telephone_number": "408-293-3888",
            "fax_number": "408-293-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GORDON R. COHEN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "CORDON",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "408-293-3888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C25141",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1992842694",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.