Organization Active NPI

P L Gardner MD S D Cohen MD and D P Bui MD

  • Ophthalmology Physician
  • Alameda, CA
National Provider Identifier
1669508990
Registry record updated Jul 2, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
P L GARDNER MD S D COHEN MD AND D P BUI MD
Practice address
2241 Central Ave
Suite a
Alameda, CA 94501-4430
Phone
(510) 522-0377
Fax
(510) 522-5372
NPI assigned
Feb 23, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2013

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

Authorized official

Name
Dr. Stephen Cohen, M.D.
Title
Owner
Phone
(510) 522-0377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

2241 Central Ave
Suite a
Alameda, CA 94501-4430

Mailing address

2241 Central Ave
Suite a
Alameda, CA 94501-4430
Phone (510) 522-0377

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372723200000",
    "number": "1669508990",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014430",
            "telephone_number": "510-522-0377",
            "fax_number": "510-522-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2241 CENTRAL AVE",
            "address_2": "SUITE A",
            "city": "ALAMEDA",
            "state": "CA",
            "postal_code": "945014430",
            "telephone_number": "510-522-0377",
            "fax_number": "510-522-5372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "P L GARDNER MD S D COHEN MD AND D P BUI MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2013-07-02",
        "status": "A",
        "authorized_official_last_name": "COHEN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "510-522-0377",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alameda, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.