Individual provider Active NPI

Kevin Cohenmehr, OD

  • Optometrist
  • Los Angeles, CA
National Provider Identifier
1386446342
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
OptometristTaxonomy code 152W00000X
License
35923 Issued in CA
Practice address
12222 Wilshire Blvd Ste 105
Los Angeles, CA 90025-1169
Phone
(310) 828-2010
NPI assigned
Mar 27, 2025
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Optometrist 152W00000X 35923 CA Primary

Addresses

Primary practice location

12222 Wilshire Blvd Ste 105
Los Angeles, CA 90025-1169

Mailing address

4926 Texhoma Ave
Encino, CA 91316-3740
Phone (310) 988-6336

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
35923CAMDPsychologist

NPI Registry JSON

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

{
    "created_epoch": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1386446342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4926 TEXHOMA AVE",
            "city": "ENCINO",
            "state": "CA",
            "postal_code": "913163740",
            "telephone_number": "310-988-6336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12222 WILSHIRE BLVD STE 105",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251169",
            "telephone_number": "310-828-2010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHENMEHR",
        "first_name": "KEVIN",
        "credential": "OD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "152W00000X",
            "taxonomy_group": "",
            "desc": "Optometrist",
            "state": "CA",
            "license": "35923",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

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