Active NPI
Jennifer P Cohen, M.D.
- Emergency Medicine Physician
- Escondido, CA
National Provider Identifier
1235175456
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- A89428
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A89428 | CA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Whole Person Care Clinic | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Southern California Permanente Medical Group | Current | Accepting new patients | |
| Team Physicians of Northern California Medical Group Inc | Emergency Medicine | Current | 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
- 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.
-
- Health Maintenance Organization
- Baldwin Park, CA
- NPI 1770515280
-
- Emergency Medicine Physician
- Pleasanton, CA
- NPI 1649692716
-
- Health Maintenance Organization
- San Diego, CA
- NPI 1225060742
-
- Health Maintenance Organization
- Santa Clarita, CA
- NPI 1316409410
-
- Primary Care Clinic/Center
- Escondido, CA
- NPI 1922790906
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1114931490
-
- Emergency Medicine Physician
- Phoenix, AZ
- NPI 1417986118
-
- Home Health Agency
- Safford, AZ
- NPI 1659337848
-
- Emergency Medicine Physician
- Glendale, AZ
- NPI 1285655209
-
- Emergency Medicine Physician
- Nampa, ID
- NPI 1942259965
-
- Emergency Medicine Physician
- Nampa, ID
- NPI 1053360065
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2024; 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.