Organization Active NPI

Shariar Cohen, M.D., Corp.

  • Non-Pharmacy Dispensing Site
  • Thousand Oaks, CA
National Provider Identifier
1750700274
Registry record updated Apr 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
A88619 Issued in CA
Legal business name
SHARIAR COHEN, M.D., CORP.
Practice address
558 Saint Charles Dr
Suite 110
Thousand Oaks, CA 91360-3903
Phone
(805) 449-8781
Fax
(805) 449-4224
NPI assigned
Apr 11, 2014
Organization subpart
Yes
Parent organization
SHARIAR COHEN, M.D., CORP.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 14, 2014

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

Authorized official

Name
Dr. Shariar Cohen-Gadol, M.D.NPI 1013054865
Title
President
Phone
(805) 449-8781

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Pharmacy Dispensing Site 332900000X A88619 CA Primary

Addresses

Primary practice location

558 Saint Charles Dr
Suite 110
Thousand Oaks, CA 91360-3903

Mailing address

2980 N Beverly Glen Cir
Suite 301
Los Angeles, CA 90077-1726
Phone (310) 943-4180

National Provider Directory

National Provider Directory
Tax ID family
Shariar Cohen MD Corp2 organizations share this tax ID, including this one
Part of
Shariar Cohen MD Corp

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1397174400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1397433600000",
    "number": "1750700274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2980 N BEVERLY GLEN CIR",
            "address_2": "SUITE 301",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900771726",
            "telephone_number": "310-943-4180",
            "fax_number": "888-431-8819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 SAINT CHARLES DR",
            "address_2": "SUITE 110",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603903",
            "telephone_number": "805-449-8781",
            "fax_number": "805-449-4224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHARIAR COHEN, M.D., CORP.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SHARIAR COHEN, M.D., CORP.",
        "enumeration_date": "2014-04-11",
        "last_updated": "2014-04-14",
        "status": "A",
        "authorized_official_last_name": "COHEN-GADOL",
        "authorized_official_first_name": "SHARIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "805-449-8781",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "CA",
            "license": "A88619",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Thousand Oaks, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2014; 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.