Organization Active NPI

Roger Kohn MD Inc.

  • Specialist
  • Bakersfield, CA
National Provider Identifier
1326381591
Registry record updated Apr 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G31087 Issued in CA
Legal business name
ROGER KOHN MD INC.
Practice address
2920 F St
Suite C-17
Bakersfield, CA 93301-1845
Phone
(661) 322-5435
Fax
(661) 322-4304
NPI assigned
Apr 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2013

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

Authorized official

Name
Roger Kohn, M.D.NPI 1376670273
Title
President
Phone
(805) 682-9274

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G31087 CA Primary

Addresses

Primary practice location

2920 F St
Suite C-17
Bakersfield, CA 93301-1845

Mailing address

1009 Las Palmas Dr
Santa Barbara, CA 93110-2112
Phone (805) 682-9274

Other identifiers 4

IdentifierTypeStateIssuer
5181222MedicaidCA
00G310870OtherCAMEDICARE ID TYPE UNSPECIFIED/ NO. CALIFORNIA
G31087OtherCAMEDICARE ID-TYPE UNSPECIFIED / SO. CALIFORNIA
8580218MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130430000203 CA Part B Supplier - Clinic/Group Practice 8426295916 Receives reassigned benefits from 1 practitioner
Practice locations: Bakersfield, CA; Santa Barbara, CA

National Provider Directory

National Provider Directory

Locations

2920 F St
Ste C17
Bakersfield, CA 93301
Phone (661) 322-5435

525 E Micheltorena St
#201
Santa Barbara, CA 93103
Phone (805) 682-9274

Practitioners & affiliated clinicians

Practitioners 2

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": "1365120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1365120000000",
    "number": "1326381591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1009 LAS PALMAS DR",
            "city": "SANTA BARBARA",
            "state": "CA",
            "postal_code": "931102112",
            "telephone_number": "805-682-9274",
            "fax_number": "661-322-4304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2920 F ST",
            "address_2": "SUITE C-17",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933011845",
            "telephone_number": "661-322-5435",
            "fax_number": "661-322-4304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROGER KOHN MD INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-05",
        "last_updated": "2013-04-05",
        "status": "A",
        "authorized_official_last_name": "KOHN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-682-9274",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G31087",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5181222",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID TYPE UNSPECIFIED/ NO. CALIFORNIA",
            "identifier": "00G310870",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-TYPE UNSPECIFIED / SO. CALIFORNIA",
            "identifier": "G31087",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8580218",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2013; 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.