Organization Active NPI

Shariar Cohen MD Corp

  • Rheumatology Physician
  • Thousand Oaks, CA
National Provider Identifier
1841804572
Registry record updated Aug 12, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
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
Sep 1, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2021

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

Authorized official

Name
Shariar Cohen-Gadol, MDNPI 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
Rheumatology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RR0500X Primary

Addresses

Primary practice location

566 Saint Charles Dr
Thousand Oaks, CA 91360-3953

Mailing address

566 Saint Charles Dr
Thousand Oaks, CA 91360-3953
Phone (805) 449-8781

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

566 Saint Charles Dr
Thousand Oaks, CA 91360
Phone (805) 449-8781

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1598918400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1841804572",
    "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": [],
    "basic": {
        "organization_name": "SHARIAR COHEN MD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-01",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "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_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "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 Aug 12, 2021; 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.