Organization Active NPI

Zachary C Cohen MD Apc

Doing business as California Pain Consultants

  • Pain Medicine Physician
  • San Diego, CA
National Provider Identifier
1689334468
Registry record updated May 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
Legal business name
ZACHARY C COHEN MD APC
Doing business as
California Pain Consultants
Practice address
5395 Ruffin Rd Ste 204
San Diego, CA 92123-1338
Phone
(858) 571-3630
Fax
(858) 295-3948
NPI assigned
Dec 21, 2021
Last updated
May 19, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2025

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

Authorized official

Name
Marc Favila
Title
Office Coordinator/Manager
Phone
(619) 993-2778

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208VP0000X 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 names 1

  • California Pain Consultants Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20220225001761 CA Part B Supplier - Clinic/Group Practice 6608260179 Receives reassigned benefits from 35 practitioners
Practice locations: San Diego, CA
O20240715001772 CA DME Supplier - Physician - Interventional Pain Management 6608260179 Practice locations: San Diego, CA

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

National Provider Directory

National Provider Directory

Locations

344 F St
Ste 203
Chula Vista, CA 91910

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

Practitioners & affiliated clinicians

Practitioners 35

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 35

NPI Registry JSON

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

{
    "created_epoch": "1640044800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747612800000",
    "number": "1689334468",
    "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": [],
    "basic": {
        "organization_name": "ZACHARY C COHEN MD APC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-21",
        "last_updated": "2025-05-19",
        "certification_date": "2025-05-19",
        "status": "A",
        "authorized_official_last_name": "FAVILA",
        "authorized_official_first_name": "MARC",
        "authorized_official_title_or_position": "OFFICE COORDINATOR/MANAGER",
        "authorized_official_telephone_number": "619-993-2778"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "California Pain Consultants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.