Glenn D. Cohen, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

A55543 Issued in CA

Practice address

696 Hampshire Rd
Suite 180
Westlake Village, CA 91361-2699

Phone

(805) 370-6877

Fax

(805) 777-7411

NPI assigned

Dec 12, 2006

Last updated

Jul 31, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Jan 1, 2014 through Jan 1, 2028

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Glenn D. Cohen, MD Inc.

  • Specialist
  • Westlake Village, CA
  • NPI 1083896096
  Authorized official Same address or phone
• Alan Mark Gross MD, Inc.

  dba Central Orthopaedic Medical Group Inc.

  • Orthopaedic Surgery Physician
  • Oxnard, CA
  • NPI 1861590184
  NPD (past)
• Westlake Pain Management Medical Associates Inc.

  dba Atlas Pain Management

  • Pain Medicine Physician
  • Downey, CA
  • NPI 1982711677
  NPD (past)

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217462400000",
    "number": "1881755056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1014 S. WESTLAKE BLVD.",
            "address_2": "SUITE 14 PMB 228",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "91361",
            "telephone_number": "805-370-6877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "696 HAMPSHIRE RD",
            "address_2": "SUITE 180",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913612699",
            "telephone_number": "805-370-6877",
            "fax_number": "805-777-7411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "GLENN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2008-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "A55543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Coddington, D.C, L.AC
• Jessica Coffman, RDH, BS
• Cognify Health Medical PC
• Andrew Scott Cohen, M.S., LMFT 119979
• Frederick S Cohen, MFT
• Jamie Faryl Cohen, O.D.
• Judith Sue Cohen, MFC
• Lisa Jo Cohen, PH.D.
• Kim Cole-Wood, PPS
• Community Counseling Group

• Specialist in Westlake Village, CA
• Providers in Westlake Village, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.