Active NPI
Rafael Cohen, DDS
- Dentist
- Los Angeles, CA
National Provider Identifier
1992506984
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dentist
- License
- 111332
- Practice address
- 6677 Santa Monica Blvd Apt 1507
Los Angeles, CA 90038-1469 - Phone
- (747) 717-9265
- NPI assigned
- Mar 24, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 111332 | CA | Primary |
Addresses
Primary practice location
6677 Santa Monica Blvd Apt 1507
Los Angeles, CA 90038-1469
Mailing address
6677 Santa Monica Blvd Apt 1507
Los Angeles, CA 90038-1469
Phone (747) 717-9265
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111332 | CA | MD | Dentist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1742774400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1742774400000",
"number": "1992506984",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6677 SANTA MONICA BLVD APT 1507",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381469",
"telephone_number": "747-717-9265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6677 SANTA MONICA BLVD APT 1507",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900381469",
"telephone_number": "747-717-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COHEN",
"first_name": "RAFAEL",
"name_prefix": "Dr.",
"credential": "DDS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-24",
"last_updated": "2025-03-24",
"certification_date": "2025-03-21",
"status": "A"
},
"taxonomies": [
{
"code": "122300000X",
"taxonomy_group": "",
"desc": "Dentist",
"state": "CA",
"license": "111332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.