Active NPI
Jordan Bernard Cohen, DC
- Chiropractor
- Hacienda Heights, CA
National Provider Identifier
1730615618
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 33294
- Practice address
- 3120 S Hacienda Blvd Ste 102
Hacienda Heights, CA 91745-6305 - Phone
- (909) 773-2510
- Fax
- (909) 775-5300
- NPI assigned
- May 11, 2017
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 33294 | CA | Primary |
Addresses
Primary practice location
3120 S Hacienda Blvd Ste 102
Hacienda Heights, CA 91745-6305
Mailing address
3120 S Hacienda Blvd Ste 102
Hacienda Heights, CA 91745-6305
Phone (909) 773-2510
Other practice location 1
968 N Grand Ave
Covina, CA 91724-2045
Phone (626) 671-7333
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 33294 | CA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jordan B Cohen Chiropractic Inc | Chiropractor | Current | Accepting new patients |
| Padula Medical Corporation | Past | Accepting new patients | |
| Mojave Chiropractic | Chiropractor | Past | Accepting new patients |
Locations
3120 S Hacienda Blvd
Ste 102
Hacienda Heights, CA 91745
Phone (909) 773-2510
Organizations & group practices 3
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.
-
dba Revive Chiropractic
- Chiropractor
- Hacienda Heights, CA
- NPI 1356048060
-
- Specialist
- Victorville, CA
- NPI 1841726668
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676246400000",
"number": "1730615618",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3120 S HACIENDA BLVD STE 102",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456305",
"telephone_number": "909-773-2510",
"fax_number": "909-775-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3120 S HACIENDA BLVD STE 102",
"city": "HACIENDA HEIGHTS",
"state": "CA",
"postal_code": "917456305",
"telephone_number": "909-773-2510",
"fax_number": "909-775-5300"
}
],
"practiceLocations": [
{
"address_1": "968 N Grand Ave",
"address_purpose": "LOCATION",
"city": "Covina",
"state": "CA",
"postal_code": "917242045",
"country_code": "US",
"telephone_number": "626-671-7333",
"fax_number": "626-671-4311",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COHEN",
"first_name": "JORDAN",
"middle_name": "BERNARD",
"name_prefix": "Dr.",
"credential": "DC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-05-11",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "33294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hacienda Heights, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.