Individual provider Active NPI

Gregory D Cohen, MD

  • Cardiovascular Disease Physician
  • Pacoima, CA
National Provider Identifier
1548283468
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
G73635 Issued in CA
Practice address
13500 Van Nuys Blvd
Pacoima, CA 91331-3025
Phone
(310) 231-9500
Fax
(310) 231-9230
NPI assigned
Jul 25, 2006
Last updated
Sep 30, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X G73635 CA Primary

Addresses

Primary practice location

13500 Van Nuys Blvd
Pacoima, CA 91331-3025

Mailing address

13500 Van Nuys Blvd
Pacoima, CA 91331-3025
Phone (310) 231-9500

Other identifiers 1

IdentifierTypeStateIssuer
00G736350OtherCAMEDICAL PPIN #

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
I20040908000878 CA Practitioner - Cardiovascular Disease (Cardiology) 5294701868 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
George Washington University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Florence Western Medical Clinic IncGroup PAC ID 1850485962, 9 clinicians

Practice addresses (Care Compare)

13500 Van Nuys Blvd
Pacoima, CA 91331-3028
Phone (818) 896-2999

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
73635CAMDPharmacist
G73635CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florence Western Medical Clinic Inc CurrentSince Sep 2, 2015 Accepting new patients
Dignity Health Past Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients
Usc Verdugo Hills Hospital, LLC Past Accepting new patients
Gregpry D Cohen MD Inc PastSince Mar 22, 2004 Accepting new patients
Cha Hollywood Medical Center, LP Past Accepting new patients

Locations

20440 Sherman Way
Canoga Park, CA 91306
Phone (818) 346-2395

7301 S Western Ave
Los Angeles, CA 90047
Phone (323) 778-2131

13500 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-2999

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1443571200000",
    "number": "1548283468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13500 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313025",
            "telephone_number": "310-231-9500",
            "fax_number": "310-231-9230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13500 VAN NUYS BLVD",
            "city": "PACOIMA",
            "state": "CA",
            "postal_code": "913313025",
            "telephone_number": "310-231-9500",
            "fax_number": "310-231-9230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GREGORY",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "G73635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL PPIN #",
            "identifier": "00G736350",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pacoima, CA

Sources for this page

Verify at the official NPI Registry.