Active NPI
Lorna A Cogen, M.D.
- Surgery Physician
- San Pablo, CA
National Provider Identifier
1447221809
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- C39042
- Practice address
- 2023 Vale Rd
Suite 8
San Pablo, CA 94806-3834 - Phone
- (510) 215-9930
- Fax
- (510) 215-9940
- NPI assigned
- Feb 1, 2006
- Last updated
- Dec 29, 2009
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | C39042 | CA | Primary |
Addresses
Primary practice location
2023 Vale Rd
Suite 8
San Pablo, CA 94806-3834
Mailing address
2023 Vale Rd
Suite 8
San Pablo, CA 94806-3834
Phone (510) 215-9930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00C390420 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39042 | CA | MD | Pharmacist |
| C39042 | CA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138752000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1262044800000",
"number": "1447221809",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2023 VALE RD",
"address_2": "SUITE 8",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063834",
"telephone_number": "510-215-9930",
"fax_number": "510-215-9940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2023 VALE RD",
"address_2": "SUITE 8",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063834",
"telephone_number": "510-215-9930",
"fax_number": "510-215-9940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COGEN",
"first_name": "LORNA",
"middle_name": "A",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-01",
"last_updated": "2009-12-29",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "C39042",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00C390420",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
- Robert G. Clark, M.D.
- Stephanie Athena Claudatos, PHD, DBSM
- Shirley Catherine Claudio
- Kimberly Alison Coady Heikkila, LCSW
- Janelle C Cobbs
- Rachelle Cohen
- Stephen Richard Cohen
- Rosa Jennifer Colin
- Community Violence Solutions
- Contra Costa County (West County Health Center Screening Mammography Services)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.