Active NPI
Joseph Kosmach DO PC
- Child & Adolescent Psychiatry Physician
- San Diego, CA
National Provider Identifier
1154964021
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Child & Adolescent Psychiatry Physician
- Legal business name
- JOSEPH KOSMACH DO PC
- Practice address
- 7850 Vista Hill Ave
San Diego, CA 92123-2717 - Phone
- (619) 294-4119
- Fax
- (619) 205-5044
- NPI assigned
- Oct 23, 2019
- 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. Joseph J Kosmach, D.O.
- Title
- Doctor
- Phone
- (619) 294-4119
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Child & Adolescent Psychiatry Physician | 2084P0804X | Primary |
Addresses
Primary practice location
7850 Vista Hill Ave
San Diego, CA 92123-2717
Mailing address
PO Box 712888
San Diego, CA 92171-2888
Phone (619) 294-4119
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1801233911 | Medicaid | CA |
Other names 1
- JOSEPH KOSMACH DO
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Child & Adolescent Psychiatry Physician
- Chicago, IL
- NPI 1689603557
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1571788800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1571788800000",
"number": "1154964021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 712888",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921712888",
"telephone_number": "619-294-4119",
"fax_number": "619-295-5044"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7850 VISTA HILL AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921232717",
"telephone_number": "619-294-4119",
"fax_number": "619-205-5044"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JOSEPH KOSMACH DO PC",
"organizational_subpart": "NO",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A",
"authorized_official_last_name": "KOSMACH",
"authorized_official_first_name": "JOSEPH",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "DOCTOR",
"authorized_official_telephone_number": "619-294-4119",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "2084P0804X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1801233911",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "JOSEPH KOSMACH DO",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.