Active NPI
Gregory S. Cohen, M.D.
- Pediatrics Physician
- Carmichael, CA
National Provider Identifier
1639258023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G63780
- Practice address
- 6555 Coyle Ave
Carmichael, CA 95608-0302 - Phone
- (916) 536-3520
- Fax
- (916) 536-3527
- NPI assigned
- Nov 4, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G63780 | CA | Primary |
Addresses
Primary practice location
6555 Coyle Ave
Carmichael, CA 95608-0302
Mailing address
3400 Data Dr
Rancho Cordova, CA 95670-7956
Other identifiers 13
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1243326 | Other | CA | GREAT WEST |
| 6349614 | Other | CA | CIGNA |
| 90065857 | Other | CA | PACIFICARE |
| 00G637800 | Other | CA | BLUE SHIELD |
| 30359 | Other | CA | INTERPLAN |
| 503052 | Other | CA | HEALTH NET |
| 1122853 | Other | CA | UNITED HEALTHCARE |
| 5832149 | Other | CA | AETNA |
| G63780 | Other | CA | BLUE CROSS |
| MCMG124200 | Other | CA | WESTERN HEALTH ADVANTAGE |
| 000810342987 | Other | CA | PHCS |
| 00G637800 | Medicaid | CA | |
| 507858 | Other | CA | FIRST HEALTH |
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 |
|---|---|---|---|
| G63780 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1328745600000",
"number": "1639258023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3400 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6555 COYLE AVE",
"city": "CARMICHAEL",
"state": "CA",
"postal_code": "956080302",
"telephone_number": "916-536-3520",
"fax_number": "916-536-3527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "GREGORY",
"middle_name": "S.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-04",
"last_updated": "2012-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G63780",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT WEST",
"identifier": "1243326",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "6349614",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PACIFICARE",
"identifier": "90065857",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "00G637800",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "INTERPLAN",
"identifier": "30359",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "503052",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1122853",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5832149",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "G63780",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WESTERN HEALTH ADVANTAGE",
"identifier": "MCMG124200",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "000810342987",
"state": "CA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G637800",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "507858",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carmichael, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.