Samantha Jill Cohen, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

14429 Issued in CA

Practice address

17264 Red Hill Ave
Irvine, CA 92614-5628

Phone

(949) 724-0011

Fax

(949) 724-0012

NPI assigned

Jun 9, 2011

Last updated

Mar 23, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332460800000",
    "number": "1487949251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 REMINGTON",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926205707",
            "telephone_number": "949-857-0758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17264 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145628",
            "telephone_number": "949-724-0011",
            "fax_number": "949-724-0012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SAMANTHA",
        "middle_name": "JILL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-09",
        "last_updated": "2012-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "14429",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galya Cohen, PSYD
• Howard M Cohen, MS, LPCC, NCC
• Joshua Garrett Cohen, M.D.
• Laurie Cohen
• Roberta M Cohen, MFT
• Seth Ashley Cohen, M.D.
• Travis James Cohoon, MD
• Gary W Cole, M.D.
• Tyler Cole
• Colin Suzman, BDS, DDS, a Professional Corp.

• Medical Physician Assistant in Irvine, CA
• Providers in Irvine, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2012; 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.