Mark S Kosins, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

A25406 Issued in CA

Practice address

647 Camino de Los Mares
226
San Clemente, CA 92673

Phone

(949) 489-9898

Fax

(949) 489-2569

NPI assigned

Nov 15, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective Nov 23, 2011 through Nov 23, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Affiliated Psychiatric Medical Group

  • Clinical Psychologist
  • San Clemente, CA
  • NPI 1558597146
  NPD (past)
• Comprehensive Doctors Medical Group Inc.

  • Psychologist
  • Arcadia, CA
  • NPI 1831270289
  NPD (past)

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

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1457424954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "226",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-489-9898",
            "fax_number": "949-489-2569"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "647 CAMINO DE LOS MARES",
            "address_2": "226",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "92673",
            "telephone_number": "949-489-9898",
            "fax_number": "949-489-2569"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSINS",
        "first_name": "MARK",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A25406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• KLP Medical
• Kool Living Inc.
• Kool Living, Inc.
• Bronston Kopala, DC
• Melissa B Korpi, OTR/L, HAND THERAPY
• Anna Kreutinger
• Michael L Kreutz, D.C.
• Kristen Ritzau D.D.S., Inc. (Shoreline Dental Studio)
• Kristen Ritzau DDS, Inc.
• Kristen Ritzau, D.D.S., Inc. (Shoreline Dental Studio)

• Psychiatry Physician in San Clemente, CA
• Providers in San Clemente, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.