Organization Active NPI

Andrew T Cohen a Medical Corporation

  • Plastic and Reconstructive Surgery Physician
  • Beverly Hills, CA
National Provider Identifier
1265920672
Registry record updated May 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic and Reconstructive Surgery PhysicianTaxonomy code 2086S0122X
License
A56223 Issued in CA
Legal business name
ANDREW T COHEN A MEDICAL CORPORATION
Practice address
9400 Brighton Way Ste 201
Beverly Hills, CA 90210-4709
Phone
(310) 659-8771
Fax
(310) 388-5222
NPI assigned
May 1, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2018

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

Authorized official

Name
Ms. Jill Ornitz Cohen
Title
Office Manager
Phone
(310) 659-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic and Reconstructive Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 2086S0122X A56223 CA Primary

Addresses

Primary practice location

9400 Brighton Way Ste 201
Beverly Hills, CA 90210-4709

Mailing address

9400 Brighton Way Ste 201
Beverly Hills, CA 90210-4709
Phone (310) 659-8771

Other identifiers 1

IdentifierTypeStateIssuer
1841367208OtherCABLUE SHIELD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20180504001924 CA Part B Supplier - Clinic/Group Practice 8022372747 Receives reassigned benefits from 1 practitioner
Practice locations: Encino, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525132800000",
    "number": "1265920672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104709",
            "telephone_number": "310-659-8771",
            "fax_number": "310-388-5222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9400 BRIGHTON WAY STE 201",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104709",
            "telephone_number": "310-659-8771",
            "fax_number": "310-388-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW T COHEN A MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "JILL",
        "authorized_official_middle_name": "ORNITZ",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-659-8771",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A56223",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "1841367208",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Beverly Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.