Individual provider Active NPI

Rose Susan Cohen, M.D.

  • Cardiovascular Disease Physician
  • Martinez, CA
National Provider Identifier
1447422613
Registry record updated Mar 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A105528 Issued in CA
Practice address
2500 Alhambra Ave
Department of Internal Medicine
Martinez, CA 94553-3156
Phone
(917) 679-6604
NPI assigned
Mar 28, 2008
Last updated
Mar 25, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 230573 NY
Cardiovascular Disease Physician 207RC0000X A105528 CA Primary

Addresses

Primary practice location

2500 Alhambra Ave
Department of Internal Medicine
Martinez, CA 94553-3156

Mailing address

2500 Alhambra Ave
Department of Internal Medicine
Martinez, CA 94553-3156
Phone (917) 679-6604

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090116000452 CA Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 8022171081 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Columbia University College of Physicians and Surgeons, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tahoe Forest Hospital DistrictGroup PAC ID 0446161335, 140 clinicians

Practice addresses (Care Compare)

10121 Pine Ave
Truckee, CA 96161-4835
Phone (530) 587-6011

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A105528CAMDCardiovascular Disease Physician
230573NYMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tahoe Forest Hospital District CurrentSince Nov 1, 2025 Accepting new patients
John Muir Health CurrentSince Dec 18, 2023 Accepting new patients
Tahoe Forest Hospital District CurrentSince Nov 1, 2025 Accepting new patients
Tahoe Forest Hospital District CurrentSince Nov 1, 2025 Accepting new patients
John Muir Health Cardiovascular Disease CurrentSince Dec 18, 2023 Accepting new patients
John Muir Physician Network CurrentSince Nov 13, 2023 Accepting new patients
Tahoe Forest Hospital District Past Accepting new patients
Ozarks Medical Center Past Accepting new patients

Locations

2400 Balfour Rd
Ste 120
Brentwood, CA 94513
Phone (925) 308-8112

2540 East St
Concord, CA 94520
Phone (925) 674-2228

10051 Lake Ave
Ste 3
Truckee, CA 96161
Phone (530) 587-7461

10121 Pine Ave
Truckee, CA 96161
Phone (530) 582-3220

1450 Treat Blvd
Ste 220B
Walnut Creek, CA 94597
Phone (925) 937-1770

Interoperability endpoints

  • FHIR API: https://epic-fhir.mercy.net/PRDFHIRAOK2/TAO/api/FHIR/R4/

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1206662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1447422613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "917-679-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 ALHAMBRA AVE",
            "address_2": "DEPARTMENT OF INTERNAL MEDICINE",
            "city": "MARTINEZ",
            "state": "CA",
            "postal_code": "945533156",
            "telephone_number": "917-679-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ROSE",
        "middle_name": "SUSAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-28",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "230573",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A105528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Martinez, CA

Sources for this page

Verify at the official NPI Registry.