Active NPI
Daniel J. Cosgrove, M.D. Inc.
- Urology Physician
- Encino, CA
National Provider Identifier
1073900817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- A64348
- Legal business name
- DANIEL J. COSGROVE, M.D. INC.
- Practice address
- 16311 Ventura Blvd
Ste. 800
Encino, CA 91436-2124 - Phone
- (818) 906-0635
- Fax
- (818) 906-7303
- NPI assigned
- Apr 20, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Daniel Jeremy Cosgrove, MD
- Title
- Owner
- Phone
- (818) 906-0635
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | A64348 | CA | Primary |
Addresses
Primary practice location
16311 Ventura Blvd
Ste. 800
Encino, CA 91436-2124
Mailing address
16311 Ventura Blvd
Ste. 800
Encino, CA 91436-2124
Phone (818) 906-0635
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
16311 Ventura Blvd
Ste 800
Encino, CA 91436
Phone (818) 788-7343
Interoperability endpoints
- danielcosgrove@djcmd.medalliesdirect.net
- https://app.meldrx.com/api/fhir/uc05034_danieljcosgrove
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Urology Physician
- Encino, CA
- NPI 1790766491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429488000000",
"number": "1073900817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "STE. 800",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-906-0635",
"fax_number": "818-906-7303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16311 VENTURA BLVD",
"address_2": "STE. 800",
"city": "ENCINO",
"state": "CA",
"postal_code": "914362124",
"telephone_number": "818-906-0635",
"fax_number": "818-906-7303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DANIEL J. COSGROVE, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-20",
"last_updated": "2015-04-20",
"status": "A",
"authorized_official_last_name": "COSGROVE",
"authorized_official_first_name": "DANIEL",
"authorized_official_middle_name": "JEREMY",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "818-906-0635",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Urology",
"state": "CA",
"license": "A64348",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Encino, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.