Individual provider Active NPI

Ben Kohn, M.D.

  • Psychiatry Physician
  • Pacific Palisades, CA
National Provider Identifier
1962692343
Registry record updated Jul 31, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
G6309 Issued in CA
Practice address
222 Surfview Dr
Pacific Palisades, CA 90272-2911
Phone
(310) 454-0606
Fax
(310) 459-7763
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 31, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X G6309 CA Primary

Addresses

Primary practice location

222 Surfview Dr
Pacific Palisades, CA 90272-2911

Mailing address

222 Surfview Dr
Pacific Palisades, CA 90272-2911
Phone (310) 454-0606

Other names 1

  • Dr. Ben Kohn Professional name

Medicare participation

Medicare enrollment files
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 May 11, 2016 through May 11, 2028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G6309CAMDPsychiatry Physician

NPI Registry JSON

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

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1185840000000",
    "number": "1962692343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 SURFVIEW DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722911",
            "telephone_number": "310-454-0606",
            "fax_number": "310-459-7763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 SURFVIEW DR",
            "city": "PACIFIC PALISADES",
            "state": "CA",
            "postal_code": "902722911",
            "telephone_number": "310-454-0606",
            "fax_number": "310-459-7763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOHN",
        "first_name": "BEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2007-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "G6309",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "BEN",
            "last_name": "KOHN",
            "prefix": "DR.",
            "credential": "M.D. PROFESSION CORP",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Pacific Palisades, CA

Sources for this page

Verify at the official NPI Registry.