Active NPI
Kevin Christopher Osborn, D.D.S.
- General Practice Dentistry
- El Cajon, CA
National Provider Identifier
1073564084
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 42866
- Practice address
- 2451 Jamacha Rd
Suite 104
El Cajon, CA 92019-4324 - Phone
- (619) 444-0500
- Fax
- (619) 444-2803
- NPI assigned
- May 15, 2006
- 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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42866 | CA | Primary |
Addresses
Primary practice location
2451 Jamacha Rd
Suite 104
El Cajon, CA 92019-4324
Mailing address
2451 Jamacha Rd
Suite 104
El Cajon, CA 92019-4324
Phone (619) 444-0500
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: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42866 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1073564084",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2451 JAMACHA RD",
"address_2": "SUITE 104",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194324",
"telephone_number": "619-444-0500",
"fax_number": "619-444-2803"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2451 JAMACHA RD",
"address_2": "SUITE 104",
"city": "EL CAJON",
"state": "CA",
"postal_code": "920194324",
"telephone_number": "619-444-0500",
"fax_number": "619-444-2803"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OSBORN",
"first_name": "KEVIN",
"middle_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "D.D.S.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "CA",
"license": "42866",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Cajon, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.