Fred Ray Kogen, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

G55365 Issued in CA

Practice address

2230 W Chapman Ave Ste 209
Orange, CA 92868-2316

Phone

(626) 556-7766

NPI assigned

Mar 1, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1362096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1740521608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1141",
            "city": "LOS ALAMITOS",
            "state": "CA",
            "postal_code": "907201141",
            "telephone_number": "424-227-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2230 W CHAPMAN AVE STE 209",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928682316",
            "telephone_number": "626-556-7766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOGEN",
        "first_name": "FRED",
        "middle_name": "RAY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-03-01",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "G55365",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "G55365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gopal Kodumudi
• Kevin Mark Koenig, MD
• Kristi L Koenig, MD
• Kyler Koepke
• Robin Koeppel, DNP, CNS
• Duane Koh
• Lindsay Ann Kohan
• Elspeth Kohler
• Lisa Kohorn, M.D.
• Bedros H Kojian, MD

• General Practice Physician in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2024; 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.