DR. SAMANTHA CLAIRE LEWIS COHEN M.D.
NPI 1174825731
Pediatrics - Developmental - Behavioral Pediatrics in San Diego, CA

Active since December 02, 2010PECOS Enrolled
4036 3RD AVE, SAN DIEGO, CA 92103(619) 320-8696(626) 314-5242 Get Directions Write a Review

NPPES record last updated: March 23, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 23, 2026, May 10, 2024, Dec 9, 2023 and 1 more (4 updates tracked since 2021).

About Dr. Samantha Claire Lewis Cohen M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SAMANTHA CLAIRE LEWIS COHEN M.D. (NPI 1174825731) is an individual developmental - behavioral pediatrics provider in San Diego, California, licensed in California (A110987) and active in the NPI registry since December 2010. She is enrolled in Medicare PECOS and maintains a secondary practice location in Encinitas.

NPPES Registry Identity

NPI1174825731
Entity TypeIndividualFemale
Primary Taxonomy2080P0006X
Provider Legal NameDR. SAMANTHA CLAIRE LEWIS COHENCredential: M.D.
Location Address4036 3RD AVESan Diego, CA 92103-2102
Mailing Address1612 32nd StSan Diego, CA 92102-1608 · (626) 825-0927 · Fax (626) 314-5242
Fax(626) 314-5242
Sole ProprietorYes
Enumeration DateDecember 2, 2010
Last NPPES UpdateMarch 23, 20264 updates tracked since enumeration
NPPES CertifiedMarch 23, 2026
NPI 1174825731 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Developmental - Behavioral PediatricsAllopathic & Osteopathic Physicians
Taxonomy Code2080P0006X
License Licensed in CA · A110987
Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.

Also ListedPediatricsTaxonomy 208000000X · License A110987 (CA)
4036 3RD AVE, San Diego, CA 92103

Other Names 1

Former Name (1)Miss Samantha Claire Lewis M.d.

Secondary Practice Location 1

Location 1700 2nd St Ste HEncinitas, CA 92024-4459 · Phone (619) 320-8696 · Fax (626) 314-5242

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Dr. Samantha Claire Lewis Cohen M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Psychologist (Clinical)
4036 3RD AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
4036 3RD AVE
SAN DIEGO, CA 92103
Psychologist (Clinical)
4036 3RD AVE
SAN DIEGO, CA 92103
Clinic/Center (Mental Health (Including Community Mental Health Center))
4036 3RD AVE
SAN DIEGO, CA 92103

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174825731, enumerated as an "individual" on December 02, 2010.

The provider is located at 4036 3RD AVE SAN DIEGO, CA 92103 and the phone number is (619) 320-8696.

Pediatrics with taxonomy code 2080P0006X and a focus in Developmental - Behavioral Pediatrics.