Shariar Cohen MD Corp

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

A88619 Issued in CA

Legal business name

SHARIAR COHEN MD CORP

Practice address

566 Saint Charles Dr
Thousand Oaks, CA 91360-3953

Phone

(805) 449-8781

Fax

(805) 449-4224

NPI assigned

Apr 2, 2009

Organization subpart

No

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

Authorized official

Name

Mr. Shariar Cohen-Gadol, M.DNPI 1013054865

Title

President

Phone

(310) 709-3564

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 4

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

• Shariar Cohen-Gadol, M.D.

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1013054865
  Medicare reassignment NPD Authorized official
• Robert Emmett Henry III, M.D., M.S.

  • Physical Medicine & Rehabilitation Physician
  • Thousand Oaks, CA
  • NPI 1306970900
  Medicare reassignment NPD
• Aelita Khachatrian, MD

  • Rheumatology Physician
  • Thousand Oaks, CA
  • NPI 1306137476
  Medicare reassignment NPD
• Annie Nguyen, PA-C

  • Physician Assistant
  • Santa Barbara, CA
  • NPI 1942772355
  Medicare reassignment

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

{
    "created_epoch": "1238630400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1694476800000",
    "number": "1831331073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "566 SAINT CHARLES DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603953",
            "telephone_number": "805-449-8781",
            "fax_number": "805-449-4224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "566 SAINT CHARLES DR",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913603953",
            "telephone_number": "805-449-8781",
            "fax_number": "805-449-4224"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "558 Saint Charles Dr Ste 203",
            "address_purpose": "LOCATION",
            "city": "Thousand Oaks",
            "state": "CA",
            "postal_code": "913603974",
            "country_code": "US",
            "telephone_number": "805-449-8781",
            "fax_number": "805-449-4224",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SHARIAR COHEN MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-02",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A",
        "authorized_official_last_name": "COHEN-GADOL",
        "authorized_official_first_name": "SHARIAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "310-709-3564",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A88619",
            "primary": true
        },
        {
            "code": "261QM1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Magnetic Resonance Imaging (MRI)",
            "state": "CA",
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "CA",
            "license": "A88619",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "A88619",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Puja Shahrouki, MD
• Shahrzad Shareghi MD PC
• Kristine Shahverdyan, OD
• Daniel Scott Shannon, D.C.
• Gina C Shao, O.D.
• Shariar Cohen MD Corp
• Shariar Cohen, M.D., Corp.
• Kelly Sharko
• Nishant Sharma, MD
• Sonali Sharma, MD

• Rheumatology Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Rheumatology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2023; 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.

Verify at the official NPI Registry.