Individual provider Active NPI

Joseph John Kosmach, DO

  • Psychiatry Physician
  • San Diego, CA
National Provider Identifier
1801233911
Registry record updated Mar 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
20A16558 Issued in CA
Practice address
7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone
(619) 294-4119
Fax
(619) 295-5044
NPI assigned
May 30, 2013
Last updated
Mar 18, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 20A16558 CA Primary

Addresses

Primary practice location

7850 Vista Hill Ave
San Diego, CA 92123-2717

Mailing address

7850 Vista Hill Ave
San Diego, CA 92123-2717
Phone (619) 294-4119

Other identifiers 1

IdentifierTypeStateIssuer
20A16558OtherCAMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, CO2 enrollments
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.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180820003372 CA Practitioner - Psychiatry 2668611278 Practice locations: San Diego, CA
I20241028002418 CO Practitioner - Psychiatry 2668611278 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A16558CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Uhs of Denver, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Uhs of Denver, Inc. CurrentSince Aug 3, 2024 Accepting new patients
Regenerative Spine, Pain, and Neuropathy Centers, Inc. PastSince Jun 22, 2021 Accepting new patients
Lags Spine and Sportscare Medical Centers, Inc. PastSince Mar 22, 2021 Accepting new patients

Locations

8565 Poplar Way
Highlands Ranch, CO 80130
Phone (720) 348-2800

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1369872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552867200000",
    "number": "1801233911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7850 VISTA HILL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232717",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7850 VISTA HILL AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921232717",
            "telephone_number": "619-294-4119",
            "fax_number": "619-295-5044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMACH",
        "first_name": "JOSEPH",
        "middle_name": "JOHN",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-05-30",
        "last_updated": "2019-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "20A16558",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "20A16558",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.