Individual provider Active NPI

Jerome Cohen, M.D.

  • Gastroenterology Physician
  • Torrance, CA
National Provider Identifier
1922036474
Registry record updated Jun 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
G40804 Issued in CA
Practice address
23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716
Phone
(310) 539-2055
Fax
(310) 530-3263
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X G40804 CA Primary

Addresses

Primary practice location

23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716

Mailing address

23456 Hawthorne Blvd Ste 300
Torrance, CA 90505-4716
Phone (310) 539-2055

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
I20040117000144 CA Practitioner - Gastroenterology 3072414507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
New York Medical College, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
South Bay Gastroenterology Medical GroupGroup PAC ID 4183651375, 12 clinicians

Practice addresses (Care Compare)

23456 Hawthorne Blvd
Suite 300
Torrance, CA 90505-4716
Phone (310) 539-2055

Hospital & facility affiliations

  • Torrance Memorial Medical Center Hospital, Torrance, CA, CCN 050351
  • Providence Little Company of Mary Med Ctr Torrance Hospital, Torrance, CA, CCN 050353

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy208
Upper gastrointestinal (GI) endoscopy for acid reflux185

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G40804CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Bay Gastroenterology Medical Group Gastroenterology CurrentSince Jul 1, 1985 Accepting new patients
Providence Health System Southern California Past Accepting new patients
Southern California Hospitalist Network Medical Group Inc Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients

Locations

2110 E El Segundo Blvd
Ste 110
El Segundo, CA 90245
Phone (310) 373-6864

23560 Madison St
Ste 211
Torrance, CA 90505
Phone (310) 539-2055

23560 Madison St
Ste 109
Torrance, CA 90505
Phone (310) 325-6331

23456 Hawthorne Blvd
Ste 300
Torrance, CA 90505
Phone (310) 316-6190

23600 Telo Ave
Ste 260
Torrance, CA 90505
Phone (310) 539-2055

4101 Torrance Blvd
Torrance, CA 90503
Phone (310) 540-7676

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 and National Provider Directory roles.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624406400000",
    "number": "1922036474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-539-2055",
            "fax_number": "310-530-3263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23456 HAWTHORNE BLVD STE 300",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905054716",
            "telephone_number": "310-539-2055",
            "fax_number": "310-530-3263"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COHEN",
        "first_name": "JEROME",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-06-23",
        "certification_date": "2021-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "CA",
            "license": "G40804",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.