NPIMap

Individual provider Active NPI

Kosha Nathwani, M.D.

  • Family Medicine Physician
  • Encinitas, CA
National Provider Identifier
1275066607
Registry record updated Sep 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A171562 Issued in CA
Practice address
326 Santa Fe Dr FL 3
Encinitas, CA 92024-5156
Phone
(760) 633-7265
NPI assigned
Apr 3, 2017
Last updated
Sep 8, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A171562 CA Primary

Addresses

Primary practice location

326 Santa Fe Dr FL 3
Encinitas, CA 92024-5156

Mailing address

10790 Rancho Bernardo Rd
San Diego, CA 92127-5705
Phone (760) 633-7265

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210615002877 CA Practitioner - Family Practice 1951673961 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Scripps HealthGroup PAC ID 9234033853, 1,450 clinicians

Practice addresses (Care Compare)

326 Santa Fe Dr
FL 3
Encinitas, CA 92024-5156
Phone (760) 633-6067

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A171562CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
First Choice Physician Partners Current Accepting new patients
Scripps Health Family Medicine Current Accepting new patients
First Choice Physician Partners Family Medicine CurrentSince Jun 1, 2021 Accepting new patients
Scripps Health CurrentSince Sep 26, 2022 Accepting new patients
Scripps Health Current Accepting new patients
Scripps Health Family Medicine CurrentSince Sep 26, 2022 Accepting new patients
First Choice Physician Partners CurrentSince Jun 1, 2021 Accepting new patients
Scripps Clinic Medical Group Past Accepting new patients
Diagnostic Imaging Services Past Accepting new patients
First Choice Physician Partners Family Medicine Past Accepting new patients

Locations

326 Santa Fe Dr
Fl 3
Encinitas, CA 92024
Phone (760) 633-6067

9888 Genesee Ave
La Jolla, CA 92037
Phone (858) 457-4123

File 54433
Los Angeles, CA 90074
Phone (858) 784-5645

1541 Florida Ave
Modesto, CA 95350
Phone (209) 214-7049

555 E Tachevah Dr
Ste 2E107
Palm Springs, CA 92262
Phone (760) 561-7373

35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466

10790 Rancho Bernardo Rd
San Diego, CA 92127
Phone (858) 554-2626

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1491177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662595200000",
    "number": "1275066607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10790 RANCHO BERNARDO RD",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921275705",
            "telephone_number": "760-633-7265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "326 SANTA FE DR FL 3",
            "city": "ENCINITAS",
            "state": "CA",
            "postal_code": "920245156",
            "telephone_number": "760-633-7265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NATHWANI",
        "first_name": "KOSHA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-03",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A171562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Encinitas, CA

Sources for this page

Verify at the official NPI Registry.