Individual provider Active NPI

Linda S Cowan, M.D.

  • Maternal & Fetal Medicine Physician
  • Los Angeles, CA
National Provider Identifier
1770618589
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
G71737 Issued in CA
Practice address
1111 W 6TH St FL 2
Los Angeles, CA 90017-1800
Phone
(213) 977-9704
Fax
(213) 977-9714
NPI assigned
Feb 22, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Genetics (M.D.) Physician 207SG0201X G71737 CA
Obstetrics & Gynecology Physician 207V00000X G71737 CA
Maternal & Fetal Medicine Physician 207VM0101X G71737 CA Primary

Addresses

Primary practice location

1111 W 6TH St FL 2
Los Angeles, CA 90017-1800

Mailing address

1111 W 6TH St FL 2
Los Angeles, CA 90017-1800
Phone (213) 977-9704

Other identifiers 1

IdentifierTypeStateIssuer
00G717370MedicaidCA

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
I20090210000647 CA Practitioner - Obstetrics/GynecologyPractitioner - Geriatric Medicine 9436214392 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
71737CAMDPharmacist
G71737CAMDClinical Genetics (M.D.) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Childrens Hospital of Los Angeles Past Accepting new patients
Good Samaritan Hospital of Suffern Past Accepting new patients
Usc Obstetricians and Gynecologists, Inc. Obstetrics & Gynecology Past Accepting new patients

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1172102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1770618589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 W 6TH ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171800",
            "telephone_number": "213-977-9704",
            "fax_number": "213-977-9714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 6TH ST FL 2",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900171800",
            "telephone_number": "213-977-9704",
            "fax_number": "213-977-9714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COWAN",
        "first_name": "LINDA",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207SG0201X",
            "taxonomy_group": "",
            "desc": "Medical Genetics, Clinical Genetics (M.D.)",
            "state": "CA",
            "license": "G71737",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "G71737",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "G71737",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G717370",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.