Organization Active NPI

Cosmos Health Solutions, LLC

  • Medical Specialty Clinic/Center
  • Tustin, CA
National Provider Identifier
1396320206
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
COSMOS HEALTH SOLUTIONS, LLC
Practice address
13552 Newport Ave
Tustin, CA 92780-3729
Phone
(833) 526-7667
NPI assigned
Mar 11, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2021

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

Authorized official

Name
Miss Laura Rodriguez
Title
Office Manager
Phone
(818) 797-8345

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X Primary

Addresses

Primary practice location

13552 Newport Ave
Tustin, CA 92780-3729

Mailing address

13552 Newport Ave
Tustin, CA 92780-3729
Phone (833) 526-7667

National Provider Directory

National Provider Directory

Locations

13552 Newport Ave
Tustin, CA 92780
Phone (833) 526-7667

NPI Registry JSON

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

{
    "created_epoch": "1615420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620000000000",
    "number": "1396320206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13552 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803729",
            "telephone_number": "833-526-7667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13552 NEWPORT AVE",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927803729",
            "telephone_number": "833-526-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSMOS HEALTH SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-11",
        "last_updated": "2021-05-03",
        "certification_date": "2021-04-29",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "818-797-8345",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.