Active NPI
Sean Kossari, M.D. a. Prof . Corp
- Obstetrics & Gynecology Physician
- Mission Hills, CA
National Provider Identifier
1780964965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A68579
- Legal business name
- SEAN KOSSARI, M.D. A. PROF . CORP
- Practice address
- 14901 Rinaldi St Ste 320
Mission Hills, CA 91345-1255 - Phone
- (818) 365-1616
- Fax
- (818) 365-1811
- NPI assigned
- Aug 19, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Shahram Kossari, MD
- Title
- President/ Owner
- Phone
- (818) 365-1616
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A68579 | CA | Primary |
Addresses
Primary practice location
14901 Rinaldi St Ste 320
Mission Hills, CA 91345-1255
Mailing address
14901 Rinaldi St
Unit 320
Mission Hills, CA 91345-1204
Phone (818) 365-1616
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 15255572590 | Medicaid | CA |
National Provider Directory
National Provider Directory- Tax ID family
- Sean Kossari MD a Prof Corp
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Obstetrics & Gynecology Physician
- Mission Hills, CA
- NPI 1255572590
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1313712000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1513728000000",
"number": "1780964965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14901 RINALDI ST",
"address_2": "UNIT 320",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451204",
"telephone_number": "818-365-1616",
"fax_number": "818-365-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14901 RINALDI ST STE 320",
"city": "MISSION HILLS",
"state": "CA",
"postal_code": "913451255",
"telephone_number": "818-365-1616",
"fax_number": "818-365-1811"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEAN KOSSARI, M.D. A. PROF . CORP",
"organizational_subpart": "NO",
"enumeration_date": "2011-08-19",
"last_updated": "2017-12-20",
"status": "A",
"authorized_official_last_name": "KOSSARI",
"authorized_official_first_name": "SHAHRAM",
"authorized_official_title_or_position": "PRESIDENT/ OWNER",
"authorized_official_telephone_number": "818-365-1616",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A68579",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "15255572590",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mission Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.