Organization Active NPI

Samantha Cohen, MD, Inc.

  • Developmental - Behavioral Pediatrics Physician
  • San Diego, CA
National Provider Identifier
1245074061
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmental - Behavioral Pediatrics PhysicianTaxonomy code 2080P0006X
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

Updated by the provider on Mar 23, 2026

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

Authorized official

Name
Dr. Samantha Cohen, MDNPI 1174825731
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)CodeLicenseStatePrimary
Developmental - Behavioral Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.