Active NPI
Cosmo Kwok, MD
- Pediatric Rehabilitation Medicine Physician
- Sacramento, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Rehabilitation Medicine Physician
- License
- C202756
- Practice address
- 4860 Y St Ste 3850
Sacramento, CA 95817-2307 - Phone
- (916) 734-5293
- NPI assigned
- Apr 22, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Rehabilitation Medicine Physician | 2081P0010X | C202756 | CA | Primary |
Addresses
Primary practice location
4860 Y St Ste 3850
Sacramento, CA 95817-2307
Mailing address
4860 Y St Ste 3850
Sacramento, CA 95817-2307
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C202756 | CA | MD | Pediatric Rehabilitation Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Regents of the Univ of Ca | Physical Medicine & Rehabilitation | Current | Accepting new patients |
| Texas Children'S Physician Group | Current | Accepting new patients | |
| Shriners Hospitals for Children | Current | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
2425 Stockton Blvd
Sacramento, CA 95817
Phone (916) 453-2000
4860 Y St
Sacramento, CA 95817
Phone (916) 734-2700
4860 Y St
Ste 3850
Sacramento, CA 95817
Phone (916) 734-5292
8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250
6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764
6621 Fannin St
Houston, TX 77030
Phone (832) 824-1866
6701 Fannin St
Fl 16
Houston, TX 77030
Phone (832) 822-2100
101 W Expressway 83
McAllen, TX 78503
Phone (956) 661-9840
6651 Main St
Va Hospital, TX 77030
Phone (832) 826-3000
Interoperability endpoints
- ckwok753998@hisp.ehr.sutterhealth.org
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
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- NPI 1679915565
-
- Pediatrics Physician
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- NPI 1861675506
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Physical Medicine & Rehabilitation Physician
- Sacramento, CA
- NPI 1679566764
-
- Clinic/Center
- Aiea, HI
- NPI 1568299857
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1398124800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747699200000",
"number": "1497175178",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 Y ST STE 3850",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 Y ST STE 3850",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958172307",
"telephone_number": "916-734-5293"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KWOK",
"first_name": "COSMO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-04-22",
"last_updated": "2025-05-20",
"certification_date": "2025-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "2081P0010X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation, Pediatric Rehabilitation Medicine",
"state": "CA",
"license": "C202756",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2025; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.