Individual provider Active NPI

Jennifer P Cohen, M.D.

  • Emergency Medicine Physician
  • Escondido, CA
National Provider Identifier
1235175456
Registry record updated Feb 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
A89428 Issued in CA
Practice address
120 N Ash St
Escondido, CA 92027-3058
Phone
(760) 385-3739
Fax
(888) 800-8266
NPI assigned
Jun 22, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 38040 AZ
Medical Toxicology (Emergency Medicine) Physician 207PT0002X 38040 AZ
Emergency Medicine Physician 207P00000X A89428 CA Primary

Addresses

Primary practice location

120 N Ash St
Escondido, CA 92027-3058

Mailing address

4836 Vista St
San Diego, CA 92116-2348
Phone (858) 822-8773

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq Health Information Exchange (HIE) Southern California Permanente Medical Group

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060802000305 CA Practitioner - Emergency Medicine 4082627385 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A89428CAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southern California Permanente Medical Group Current Accepting new patients
Whole Person Care Clinic CurrentSince Feb 11, 2024 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 7, 2018 Accepting new patients
Southern California Permanente Medical Group CurrentSince Aug 7, 2018 Accepting new patients
Team Physicians of Northern California Medical Group Inc Emergency Medicine CurrentSince Apr 1, 2018 Accepting new patients
Premier Emergency Physicians of Idaho Medical Group Emergency Medicine Past Accepting new patients
Ingenuity Medical Group LLC Emergency Medicine Past Accepting new patients
Treasure Valley Emergency Physicians Emergency Medicine Past Accepting new patients
North Valley Emergency Specialists Emergency Medicine Past Accepting new patients
Mt Graham Regional Medical Center Inc Past Accepting new patients
Emergency Physicians Professional Association LTD Emergency Medicine Past Accepting new patients

Locations

120 N Ash St
Escondido, CA 92027
Phone (760) 385-3739

5555 Grossmont Center Dr
La Mesa, CA 91942
Phone (619) 465-0711

5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015

4647 Zion Ave
San Diego, CA 92120
Phone (619) 528-3038

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707264000000",
    "number": "1235175456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4836 VISTA ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921162348",
            "telephone_number": "858-822-8773"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N ASH ST",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920273058",
            "telephone_number": "760-385-3739",
            "fax_number": "888-800-8266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JENNIFER",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-22",
        "last_updated": "2024-02-07",
        "certification_date": "2024-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "AZ",
            "license": "38040",
            "primary": false
        },
        {
            "code": "207PT0002X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Medical Toxicology",
            "state": "AZ",
            "license": "38040",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "CA",
            "license": "A89428",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/scalceq",
            "affiliation": "Y",
            "endpointDescription": "Carequality",
            "affiliationName": "Southern California Permanente Medical Group",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "C-CDA",
            "address_1": "4647 Zion Ave",
            "city": "San Diego",
            "state": "CA",
            "country_code": "US",
            "postal_code": "921202507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.