Active NPI
Samantha Cohen, MD, Inc.
- Developmental - Behavioral Pediatrics Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- Legal business name
- SAMANTHA COHEN, MD, INC.
- Practice address
- 4036 3Rd Ave Ste 210
San Diego, CA 92103-2102 - Phone
- (626) 825-0927
- Fax
- (626) 314-5242
- NPI assigned
- Jun 25, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Samantha Cohen, MD
- Title
- Ceo/Developmental Behavioral Ped.
- Phone
- (619) 320-8696
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | Primary | ||
| Developmental Disabilities Clinic/Center | 261QD1600X |
Addresses
Primary practice location
4036 3Rd Ave Ste 210
San Diego, CA 92103-2102
Mailing address
1612 32ND St
San Diego, CA 92102-1608
Phone (619) 320-8696
Other practice location 1
700 2nd St Ste H
Encinitas, CA 92024-4459
Phone (619) 320-8696
National Provider Directory
National Provider DirectoryLocations
700 2nd St
Ste H
Encinitas, CA 92024
Phone (619) 320-8696
4036 3rd Ave
Ste 210
San Diego, CA 92103
Phone (626) 825-0927
3405 Kenyon St
Ste 210
San Diego, CA 92110
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Developmental - Behavioral Pediatrics Physician
- San Diego, CA
- NPI 1174825731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719273600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1774224000000",
"number": "1245074061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1612 32ND ST",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921021608",
"telephone_number": "619-320-8696",
"fax_number": "626-314-5242"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4036 3RD AVE STE 210",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921032102",
"telephone_number": "626-825-0927",
"fax_number": "626-314-5242"
}
],
"practiceLocations": [
{
"address_1": "700 2nd St Ste H",
"address_purpose": "LOCATION",
"city": "Encinitas",
"state": "CA",
"postal_code": "920244459",
"country_code": "US",
"telephone_number": "619-320-8696",
"fax_number": "626-314-5242",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "SAMANTHA COHEN, MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-25",
"last_updated": "2026-03-23",
"certification_date": "2026-03-23",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "SAMANTHA",
"authorized_official_title_or_position": "CEO/DEVELOPMENTAL BEHAVIORAL PED.",
"authorized_official_telephone_number": "619-320-8696",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2080P0006X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QD1600X",
"taxonomy_group": "",
"desc": "Clinic/Center, Developmental Disabilities",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.