Organization Active NPI

Richard Cohen Professional Chiropractic Corporation

  • Chiropractor
  • Redondo Beach, CA
National Provider Identifier
1497835177
Registry record updated Mar 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RICHARD COHEN PROFESSIONAL CHIROPRACTIC CORPORATION
Practice address
1919 S Catalina Ave
Redondo Beach, CA 90277-5515
Phone
(310) 378-7246
Fax
(310) 373-9618
NPI assigned
Oct 16, 2006
Last updated
Mar 5, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2025

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

Authorized official

Name
Richard Cohen, DCNPI 1518041789
Title
Owner of Entity
Phone
(310) 378-7246

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1919 S Catalina Ave
Redondo Beach, CA 90277-5515

Mailing address

1919 S Catalina Ave
Redondo Beach, CA 90277-5515
Phone (310) 378-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20050307000561 CA Part B Supplier - Clinic/Group Practice 4688628282 Receives reassigned benefits from 3 practitioners
Practice locations: Redondo Beach, CA
O20250305002774 CA Part B Supplier - Clinic/Group Practice 9032630140 Receives reassigned benefits from 1 practitioner
Practice locations: Redondo Beach, CA

National Provider Directory

National Provider Directory

Locations

129 Palos Verdes Blvd
Ste 104
Redondo Beach, CA 90277
Phone (310) 378-7246

1919 S Catalina Ave
Redondo Beach, CA 90277
Phone (310) 378-7246

3510 12th St
Lewiston, ID 83501
Phone (208) 413-2082

3510 12th St
Ste 300
Lewiston, ID 83501

Practitioners & affiliated clinicians

Practitioners 13

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741132800000",
    "number": "1497835177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775515",
            "telephone_number": "310-378-7246",
            "fax_number": "310-373-9618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 S CATALINA AVE",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "902775515",
            "telephone_number": "310-378-7246",
            "fax_number": "310-373-9618"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RICHARD COHEN PROFESSIONAL CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-16",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER OF ENTITY",
        "authorized_official_telephone_number": "310-378-7246",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redondo Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.