Active NPI
Joseph John Kosmach, DO
- Psychiatry Physician
- San Diego, CA
National Provider Identifier
1801233911
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 20A16558
- 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, 2019
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 20A16558 | Other | CA | MEDICAL LICENSE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, CO
- 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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A16558 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Uhs of Denver, Inc. | Current | Accepting new patients | |
| Uhs of Denver, Inc. | Current | Accepting new patients | |
| Regenerative Spine, Pain, and Neuropathy Centers, Inc. | Past | Accepting new patients | |
| Lags Spine and Sportscare Medical Centers, Inc. | Past | 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.
-
dba Highlands Behavioral Health System
- Psychiatric Hospital
- Littleton, CO
- NPI 1326133216
-
dba Joseph Kosmach DO
- Child & Adolescent Psychiatry Physician
- San Diego, CA
- NPI 1154964021
-
dba Highlands Behavioral Health System
- Family Nurse Practitioner
- Highlands Ranch, CO
- NPI 1083227540
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Fresno, CA
- NPI 1679055545
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Bakersfield, CA
- NPI 1497323570
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2019; 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.