Stefan B. Cohen, D.C.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

DC26543 Issued in CA

Practice address

916 San Pablo Ave Unit a
Albany, CA 94706-2059

Phone

(510) 528-5216

Fax

(510) 528-5256

NPI assigned

Aug 16, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Life Chiropractic College - West, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Innate Chiropractic

  • Chiropractor
  • Albany, CA
  • NPI 1558237818
  NPD Authorized official

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702944000000",
    "number": "1295848034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1541 CEDAR ST",
            "city": "BERKELEY",
            "state": "CA",
            "postal_code": "947031056",
            "telephone_number": "510-528-3028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "916 SAN PABLO AVE UNIT A",
            "city": "ALBANY",
            "state": "CA",
            "postal_code": "947062059",
            "telephone_number": "510-528-5216",
            "fax_number": "510-528-5256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "STEFAN",
        "middle_name": "B.",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-16",
        "last_updated": "2023-12-19",
        "certification_date": "2023-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "DC26543",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "0265430",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City of Albany Fire Department
• Corina Clark-Derman, FNP
• Andrea Clark, PT
• Betsy Cohen, L.C.S.W.
• George David Cohen, LCSW
• Evan Scott Collier, M.D.
• Andrew Condey, PH.D.
• Kristen Blythe Conner, L.AC., C.M.T.
• Shawn Corne, PHD
• Frank Cortese, DDS

• Chiropractor in Albany, CA
• Providers in Albany, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.