Elias Cohenzadeh, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A36930 Issued in CA

Practice address

1034 Princeton St
Santa Monica, CA 90403-4702

Phone

(310) 951-5453

NPI assigned

Jul 10, 2006

Last updated

May 5, 2015By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430784000000",
    "number": "1447284385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 PRINCETON ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034702",
            "telephone_number": "310-951-5453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1034 PRINCETON ST",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904034702",
            "telephone_number": "310-951-5453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHENZADEH",
        "first_name": "ELIAS",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A36930",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A36930",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joss Cohen, M.D.
• Rachel Cohen
• Renee A Cohen, PHD
• Stacy A Cohen, M.D.
• Bijan Cohenmehr, OD DR OF OPTOMETRY
• Heather Cole
• Matthew Cole
• Robert Eli Cole, MD
• Caroline Marie Colin, M.D.
• Francesca Colla, LPCC

• Family Medicine Physician in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2015; 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.

Verify at the official NPI Registry.