Individual provider Active NPI

Sagi Jacob Cohen, M.D.

  • Internal Medicine Physician
  • Calabasas, CA
National Provider Identifier
1679872311
Registry record updated Mar 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
A127186 Issued in CA
Practice address
23622 Calabasas Rd Ste 122
Calabasas, CA 91302-4144
Phone
(818) 881-8252
Fax
(818) 881-8254
NPI assigned
Mar 21, 2011
Last updated
Mar 11, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 11, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A127186 CA Primary

Addresses

Primary practice location

23622 Calabasas Rd Ste 122
Calabasas, CA 91302-4144

Mailing address

23622 Calabasas Rd Ste 122
Calabasas, CA 91302-4144
Phone (818) 881-8252

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
I20141027002193 CA Practitioner - Internal Medicine 6103047618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

23622 Calabasas Rd
Suite 122
Calabasas, CA 91302-4144
Phone (818) 881-8252

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A127186CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nathan Alyesh MD Inc CurrentSince Mar 12, 2023 Accepting new patients
Cohen Healthcare Inc Internal Medicine CurrentSince Jul 1, 2020 Accepting new patients

Locations

23622 Calabasas Rd
Ste 122
Calabasas, CA 91302
Phone (818) 881-8252

18321 Clark St
Ste 245
Tarzana, CA 91356

18372 Clark St
Ste 212
Tarzana, CA 91356
Phone (818) 697-9009

Interoperability endpoints

  • Direct secure messaging: sagi.cohen.1@20560.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

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": "1300665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678492800000",
    "number": "1679872311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD STE 122",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024144",
            "telephone_number": "818-881-8252",
            "fax_number": "818-881-8254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23622 CALABASAS RD STE 122",
            "city": "CALABASAS",
            "state": "CA",
            "postal_code": "913024144",
            "telephone_number": "818-881-8252",
            "fax_number": "818-881-8254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "SAGI",
        "middle_name": "JACOB",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-21",
        "last_updated": "2023-03-11",
        "certification_date": "2023-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A127186",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calabasas, CA

Sources for this page

Verify at the official NPI Registry.