Active NPI
Gary a Cohen MD Inc
- Allergy & Immunology Physician
- San Diego, CA
National Provider Identifier
1831204494
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy & Immunology Physician
- License
- G43070
- Legal business name
- GARY A COHEN MD INC
- Practice address
- Ste J
9833 Pacific Heights Blvd
San Diego, CA 92121-4707 - Phone
- (858) 458-0940
- Fax
- (858) 458-3688
- NPI assigned
- Aug 21, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Gary Alan Cohen, MD
- Title
- Medical Director
- Phone
- (858) 458-0940
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Allergy & Immunology Physician | 207K00000X | G43070 | CA | Primary |
Addresses
Primary practice location
Ste J
9833 Pacific Heights Blvd
San Diego, CA 92121-4707
Mailing address
9833 Pacific Heights Blvd
Suite J
San Diego, CA 92121-4707
Phone (858) 458-0940
Other names 1
- Allergy & Asthma Prevention and Treatment Center
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041222000336 | CA | Part B Supplier - Clinic/Group Practice | 1658339676 | Practice locations: San Diego, CA |
National Provider Directory
National Provider DirectoryNetworks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213056000000",
"number": "1831204494",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9833 PACIFIC HEIGHTS BLVD",
"address_2": "SUITE J",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214707",
"telephone_number": "858-458-0940",
"fax_number": "858-458-3688"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "STE J",
"address_2": "9833 PACIFIC HEIGHTS BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921214707",
"telephone_number": "858-458-0940",
"fax_number": "858-458-3688"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GARY A COHEN MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-08-21",
"last_updated": "2008-06-10",
"status": "A",
"authorized_official_last_name": "COHEN",
"authorized_official_first_name": "GARY",
"authorized_official_middle_name": "ALAN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "858-458-0940",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207K00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Allergy & Immunology",
"state": "CA",
"license": "G43070",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Allergy & Asthma Prevention and Treatment Center",
"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 Jun 10, 2008; 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.