Individual provider Active NPI

Brian A. Cox, M.D.

  • Plastic Surgery Physician
  • Pasadena, CA
National Provider Identifier
1952307985
Registry record updated Jul 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
80824 Issued in CA
Practice address
950 S Arroyo Pkwy Ste 310
Pasadena, CA 91105-3930
Phone
(626) 449-4859
Fax
(626) 403-0311
NPI assigned
Jun 23, 2005
Reactivated
Mar 29, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X 80824 CA Primary

Addresses

Primary practice location

950 S Arroyo Pkwy Ste 310
Pasadena, CA 91105-3930

Mailing address

PO Box 80018
City of Industry, CA 91716-8018
Phone (626) 449-4859

Other identifiers 2

IdentifierTypeStateIssuer
00G808240OtherCABLUE SHIELD PROVIDER
00G808240MedicaidCA

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
I20070319000673 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 3173598984 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive SurgeryAlso: General Surgery
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Premiere Plastic Surgery IncGroup PAC ID 4789867243, 5 clinicians

Practice addresses (Care Compare)

950 S Arroyo Pkwy
FL 3
Pasadena, CA 91105-3932
Phone (626) 449-4859

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80824CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Surgical Specialists, a Professional Corporation CurrentSince Jul 17, 2022 Accepting new patients
Premiere Plastic Surgery Inc Plastic Surgery CurrentSince Jan 3, 2011 Accepting new patients
Pasadena Advanced Surgery Institute PastSince Jul 11, 2008 Accepting new patients
Glendale Adventist Medical Center Past Accepting new patients

Locations

950 S Arroyo Pkwy
Fl 3
Pasadena, CA 91105
Phone (626) 449-4859

950 S Arroyo Pkwy
Ste 310
Pasadena, CA 91105
Phone (626) 449-4859

35 E Glenarm St
Pasadena, CA 91105
Phone (626) 768-4415

1044 S Fair Oaks Ave
Ste 101
Pasadena, CA 91105
Phone (626) 449-4859

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.

NPI Registry JSON

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

{
    "created_epoch": "1119484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657411200000",
    "number": "1952307985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 80018",
            "city": "CITY OF INDUSTRY",
            "state": "CA",
            "postal_code": "917168018",
            "telephone_number": "626-449-4859",
            "fax_number": "626-403-0321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 S ARROYO PKWY STE 310",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911053930",
            "telephone_number": "626-449-4859",
            "fax_number": "626-403-0311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COX",
        "first_name": "BRIAN",
        "middle_name": "A.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-23",
        "last_updated": "2022-07-10",
        "certification_date": "2022-07-10",
        "deactivation_date": "2006-03-15",
        "reactivation_date": "2006-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "80824",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD PROVIDER",
            "identifier": "00G808240",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G808240",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasadena, CA

Sources for this page

Verify at the official NPI Registry.