Active NPI
Steven R Cohen, M.D.
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- San Diego, CA
National Provider Identifier
1508993742
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician
- License
- G66027
- Practice address
- 4510 Executive Dr Ste 200
San Diego, CA 92121-3023 - Phone
- (858) 842-2370
- Fax
- (858) 842-2375
- NPI assigned
- Feb 27, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician | 2082S0099X | G66027 | CA | Primary |
Addresses
Primary practice location
4510 Executive Dr Ste 200
San Diego, CA 92121-3023
Mailing address
4510 Executive Dr Ste 200
San Diego, CA 92121-3023
Phone (858) 842-2370
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G660271 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G66027 | CA | MD | Plastic Surgery Within the Head and Neck (Plastic Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Scripps Health | Current | Accepting new patients | |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Interoperability endpoints
- scohen80904@scrippshlth.medalliesdirect.net
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Children's Hospital
- San Diego, CA
- NPI 1336359389
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1285113600000",
"number": "1508993742",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213023",
"telephone_number": "858-842-2370",
"fax_number": "858-842-2375"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4510 EXECUTIVE DR STE 200",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921213023",
"telephone_number": "858-842-2370",
"fax_number": "858-842-2375"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "STEVEN",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-27",
"last_updated": "2010-09-22",
"status": "A"
},
"taxonomies": [
{
"code": "2082S0099X",
"taxonomy_group": "",
"desc": "Plastic Surgery, Plastic Surgery Within the Head and Neck",
"state": "CA",
"license": "G66027",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G660271",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.