Individual provider Active NPI

Zachary Carl Cohen, M.D.

  • Pain Medicine Physician
  • San Diego, CA
National Provider Identifier
1598021982
Registry record updated Jan 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
A146733 Issued in CA
Practice address
5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Phone
(858) 571-3630
Fax
(858) 295-3948
NPI assigned
Apr 10, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine Physician 208VP0000X A146733 CA Primary

Addresses

Primary practice location

5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338

Mailing address

5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Phone (858) 571-3630

Other practice location 1

5360 Jackson Dr Ste 100
LA Mesa, CA 91942-3012
Phone (858) 571-3630 ext. 6

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
I20171006001600 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 7416222070 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain Management
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Anesthesia Consultants of California Medical Group IncGroup PAC ID 3375456692, 37 clinicians
Zachary C Cohen MD ApcGroup PAC ID 6608260179, 15 clinicians

Practice addresses (Care Compare)

2185 Citracado Pkwy
Escondido, CA 92029-4159
Phone (442) 281-5000

5395 Ruffin Rd
Suite 204
San Diego, CA 92123-1338
Phone (858) 571-3630

Hospital & facility affiliations

  • Active Health Services Home health agency, San Diego, CA, CCN 059672
  • A Better Solution in Home Care Home health agency, San Diego, CA, CCN 053116
  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Coronado Hospital and Hlthcr Ctr Hospital, Coronado, CA, CCN 050234

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion1-10
Laminectomy or laminotomy (partial removal of spine bones)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A146733CAMDPain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Encompass Procedure Center Current Accepting new patients
John Qian M.D. Inc. CurrentSince Dec 3, 2023 Accepting new patients
Zachary C Cohen MD Apc Pain Medicine CurrentSince Feb 1, 2022 Accepting new patients
John Qian M.D. Inc. CurrentSince Dec 3, 2023 Accepting new patients
Scripps Health Current Accepting new patients
Zachary C Cohen MD Apc Pain Medicine CurrentSince Feb 1, 2022 Accepting new patients
Palomar Health Past Accepting new patients
Scripps Health Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

750 Medical Center Ct
Ste 14B
Chula Vista, CA 91911

5360 Jackson Dr
Ste 100
La Mesa, CA 91942
Phone (619) 462-5900

5395 Ruffin Rd
San Diego, CA 92123

8996 Miramar Rd
Ste 308
San Diego, CA 92126
Phone (858) 335-2670

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

16466 Bernardo Center Dr
Ste 150
San Diego, CA 92128
Phone (858) 453-7700

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: zachary.cohen.1@20168.direct.athenahealth.com
  • Direct secure messaging: zcohen318284@scrippshlth.medalliesdirect.net
  • Direct secure messaging: californiapain.zacharyccohen@161491.advancedmd-direct.com

Organizations & group practices 11

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.

Hospital & facility affiliations 4

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705881600000",
    "number": "1598021982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5395 RUFFIN RD STE 204",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921231338",
            "telephone_number": "858-571-3630",
            "fax_number": "858-295-3948"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5360 Jackson Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "LA Mesa",
            "state": "CA",
            "postal_code": "919423012",
            "country_code": "US",
            "telephone_number": "858-571-3630 x6",
            "fax_number": "858-295-3948",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COHEN",
        "first_name": "ZACHARY",
        "middle_name": "CARL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-10",
        "last_updated": "2024-01-22",
        "certification_date": "2024-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A146733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.