Cody Shane Osborn

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

1207 Sylvan Rd
Monterey, CA 93940-4942

Phone

(831) 601-1131

NPI assigned

Jan 18, 2021

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

Enrolled in CA, TX, CO, IL, FL5 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 5

Specialty

Physician Assistant

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Smi Imaging LLCGroup PAC ID 3476696220, 380 clinicians

Simonmed Imaging Florida LLCGroup PAC ID 6608036108, 302 clinicians

Howard Simon MD PLLCGroup PAC ID 7214369966, 61 clinicians

Health Diagnostics of California a Professional CorporationGroup PAC ID 4284621525, 176 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

80.3 of 100Reported as group

Quality

75.71

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

79.36 of 100Reported as group

Quality

75.71

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• Freedom Health HMO Network
• Optimum HealthCare HMO Network

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.

• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Mountain View, CA
  • NPI 1104321959
  Medicare reassignment Care Compare group NPD
• Simonmed Imaging Florida LLC

  • Diagnostic Radiology Physician
  • Tampa, FL
  • NPI 1477830818

  CA

  Medicare reassignment Care Compare group NPD
• Smi Imaging, LLC

  • Diagnostic Radiology Physician
  • Scottsdale, AZ
  • NPI 1972004489

  CA, CO, TX

  Medicare reassignment Care Compare group NPD
• Howard Simon MD PLLC

  • Diagnostic Radiology Physician
  • Chicago, IL
  • NPI 1659930998

  CA

  Medicare reassignment Care Compare group
• Rheim Dermatology, Inc

  • Dermatology Physician
  • Monterey, CA
  • NPI 1336673862
  Medicare reassignment
• Health Diagnostics of California a Professional Corporation

  • Diagnostic Radiology Physician
  • Redlands, CA
  • NPI 1710518535
  NPD
• Dignity Health

  • General Acute Care Hospital
  • Santa Maria, CA
  • NPI 1760510937
  NPD (past)

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

{
    "created_epoch": "1610928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1610928000000",
    "number": "1669061297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1207 SYLVAN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404942",
            "telephone_number": "831-601-1131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 SYLVAN RD",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939404942",
            "telephone_number": "831-601-1131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBORN",
        "first_name": "CODY",
        "middle_name": "SHANE",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-01-18",
        "last_updated": "2021-01-18",
        "certification_date": "2021-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ordway Pharmacy
• Howard A Oriba, MD
• Ashley Karina Ornelas
• Betsy Araceli Oropeza
• Consuelo A Ortiz-Herrera
• Megan Renee Osornio, MHS
• Annette Oswald
• Ana Karina Oviedo-Munoz
• Joanna Oviedo, LCSW
• Mariana Oviedo

• Physician Assistant in Monterey, CA
• Providers in Monterey, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2021; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.