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

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

Other identifiers 2

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

State licenses

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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROFESSIONAL LICENSE",
            "identifier": "A36930",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A369300",
            "state": "CA"
        }
    ],
    "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.