Active NPI
Janice Linda Cochran, MD
- Psychiatry Physician
- Fresno, CA
National Provider Identifier
1447214747
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- G59077
- Practice address
- 4441 E Kings Canyon Rd
Fresno, CA 93702-3604 - Phone
- (909) 737-7707
- Fax
- (800) 377-8163
- NPI assigned
- Apr 13, 2006
- Sex
- Female
- 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 | G59077 | CA | Primary |
Addresses
Primary practice location
4441 E Kings Canyon Rd
Fresno, CA 93702-3604
Mailing address
1370 S State St Ste B
San Jacinto, CA 92583-4922
Phone (951) 791-3596
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 958178 | Other | AZ | AHCCCS |
| G59077 | 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 |
|---|---|---|---|
| G59077 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Choice Physician Partners | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups, Inc. | Current | Accepting new patients | |
| Special Service for Groups | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Magellan Health Services of Arizona, Inc | Past | Accepting new patients |
Locations
6601 White Feather Rd
Joshua Tree, CA 92252
Phone (760) 366-1500
905 E 8th St
Los Angeles, CA 90021
Phone (213) 553-1800
57407 29 Palms Hwy
Ste F
Yucca Valley, CA 92284
Phone (760) 366-1541
Organizations & group practices 7
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.
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- Family Medicine Physician
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- Ophthalmology Physician
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-
- Mental Health Clinic/Center (Including Community Mental Health Center)
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-
- Adolescent and Children Mental Health Clinic/Center
- Los Angeles, CA
- NPI 1982735932
-
- Case Management Agency
- Gilbert, AZ
- NPI 1194965145
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677801600000",
"number": "1447214747",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1370 S STATE ST STE B",
"city": "SAN JACINTO",
"state": "CA",
"postal_code": "925834922",
"telephone_number": "951-791-3596",
"fax_number": "951-791-3397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 E KINGS CANYON RD",
"city": "FRESNO",
"state": "CA",
"postal_code": "937023604",
"telephone_number": "909-737-7707",
"fax_number": "800-377-8163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COCHRAN",
"first_name": "JANICE",
"middle_name": "LINDA",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-04-13",
"last_updated": "2023-03-03",
"certification_date": "2023-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G59077",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AHCCCS",
"identifier": "958178",
"state": "AZ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G59077",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fresno, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 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.