Active NPI
Nathan Cohen, MD
- Psychiatry Physician
- Watsonville, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G20141
- Practice address
- 1430 Freedom Blvd
Watsonville, CA 95076-2780 - Phone
- (831) 763-8400
- NPI assigned
- Oct 25, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G20141 | CA | Primary |
Addresses
Primary practice location
1430 Freedom Blvd
Watsonville, CA 95076-2780
Mailing address
1430 Freedom Blvd
Watsonville, CA 95076-2780
Phone (831) 763-8400
Other practice location 1
42 Orange Ave
Larkspur, CA 94939-1926
Phone (415) 377-3506
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G201410 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G20141 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Santa Cruz | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| Contra Costa County | Current | Accepting new patients | |
| County of Santa Cruz | Current | Accepting new patients | |
| Comprehensive Psychiatric Services, a Medical Group | Psychiatry | Current | Accepting new patients |
Locations
2523 El Portal Dr
Ste 206
San Pablo, CA 94806
Phone (510) 215-3730
2523 El Portal Dr
Ste 101
San Pablo, CA 94806
Phone (510) 215-3700
1080 Emeline Ave
Santa Cruz, CA 95060
Phone (831) 454-4100
3100 Oak Rd
Ste 270
Walnut Creek, CA 94597
Phone (925) 944-9711
1430 Freedom Blvd
Ste D
Watsonville, CA 95076
Phone (831) 763-8400
1430 Freedom Blvd
Watsonville, CA 95076
Phone (831) 763-8200
Organizations & group practices 5
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.
-
- Psychiatry Physician
- Walnut Creek, CA
- NPI 1184785834
-
- Adult Mental Health Clinic/Center
- San Pablo, CA
- NPI 1376620336
-
- Federally Qualified Health Center (FQHC)
- Watsonville, CA
- NPI 1770709149
-
- General Acute Care Hospital
- Martinez, CA
- NPI 1386719086
-
- Federally Qualified Health Center (FQHC)
- Santa Cruz, CA
- NPI 1285033514
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1695600000000",
"number": "1366526436",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1430 FREEDOM BLVD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762780",
"telephone_number": "831-763-8400",
"fax_number": "831-763-8400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1430 FREEDOM BLVD",
"city": "WATSONVILLE",
"state": "CA",
"postal_code": "950762780",
"telephone_number": "831-763-8400"
}
],
"practiceLocations": [
{
"address_1": "42 Orange Ave",
"address_purpose": "LOCATION",
"city": "Larkspur",
"state": "CA",
"postal_code": "949391926",
"country_code": "US",
"telephone_number": "415-377-3506",
"fax_number": "415-927-0228",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "NATHAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-25",
"last_updated": "2023-09-25",
"certification_date": "2023-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G20141",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G201410",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watsonville, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.