Active NPI
Michael L. Cohen, M.D.
- Critical Care Medicine (Internal Medicine) Physician
- Walnut Creek, CA
National Provider Identifier
1205885779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- G28277
- Practice address
- 130 La Casa Via
BLDG #2, Suite 208
Walnut Creek, CA 94598-3045 - Phone
- (925) 944-0166
- Fax
- (925) 944-6355
- NPI assigned
- May 10, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pulmonary Disease Physician | 207RP1001X | G282770 | CA | |
| Sleep Medicine (Internal Medicine) Physician | 207RS0012X | G28277 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | G28277 | CA | Primary |
Addresses
Primary practice location
130 La Casa Via
BLDG #2, Suite 208
Walnut Creek, CA 94598-3045
Mailing address
2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Other practice location 1
130 La Casa Via
Bldg #2, Suite 208
Walnut Creek, CA 94598-3045
Phone (925) 944-0166
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G282770 | Medicaid | CA | |
| 290004008 | Other | CA | MEDICARE RAILROAD BOARD |
| A43677 | Other | CA | MEDICARE UPIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28277 | CA | MD | Critical Care Medicine (Internal Medicine) Physician |
| G282770 | CA | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Medical Group | Past | Accepting new patients | |
| Muir Sleep Center | Past | Accepting new patients | |
| Contra Costa Sleep Center LLC | Past | Accepting new patients |
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 3
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.
-
- Sleep Disorder Diagnostic Clinic/Center
- Walnut Creek, CA
- NPI 1932217791
-
- Sleep Disorder Diagnostic Clinic/Center
- Walnut Creek, CA
- NPI 1962505594
-
- Specialist
- Walnut Creek, CA
- NPI 1154401941
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147219200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517356800000",
"number": "1205885779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2637 SHADELANDS DR",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945982512"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 LA CASA VIA",
"address_2": "BLDG #2, SUITE 208",
"city": "WALNUT CREEK",
"state": "CA",
"postal_code": "945983045",
"telephone_number": "925-944-0166",
"fax_number": "925-944-6355"
}
],
"practiceLocations": [
{
"address_1": "130 La Casa Via",
"address_2": "Bldg #2, Suite 208",
"address_purpose": "LOCATION",
"city": "Walnut Creek",
"state": "CA",
"postal_code": "945983045",
"country_code": "US",
"telephone_number": "925-944-0166",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "MICHAEL",
"middle_name": "L.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-10",
"last_updated": "2018-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "CA",
"license": "G282770",
"primary": false
},
{
"code": "207RS0012X",
"taxonomy_group": "",
"desc": "Internal Medicine, Sleep Medicine",
"state": "CA",
"license": "G28277",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "G28277",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G282770",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD BOARD",
"identifier": "290004008",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE UPIN",
"identifier": "A43677",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walnut Creek, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.