Individual provider Active NPI

Lawrence N. Cosner Jr., MD

  • Internal Medicine Physician
  • Ridgecrest, CA
National Provider Identifier
1851393813
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
G50371 Issued in CA
Practice address
1111 N. China Lake Blvd Suite 190
Ridgecrest Rural Health Clinic
Ridgecrest, CA 93555
Phone
(760) 499-3855
Fax
(760) 499-3870
NPI assigned
Jun 2, 2005
Last updated
Mar 7, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X G50371 CA Primary

Addresses

Primary practice location

1111 N. China Lake Blvd Suite 190
Ridgecrest Rural Health Clinic
Ridgecrest, CA 93555

Mailing address

1111 N. China Lake Blvd Suite 190
Ridgecrest Rural Health Clinic
Ridgecrest, CA 93555
Phone (760) 499-3854

Other identifiers 9

IdentifierTypeStateIssuer
CA0103OtherJOHN DEERE
110039740OtherRAILROAD MEDICARE
182651OtherAHI HEALTHLINK
00G503710OtherBLUE CROSS
00G503710MedicaidCA
0616650001OtherDME
00G503710OtherCOMMERCIAL INS.
93555B097OtherTRIWEST/TRICARE
00G503710OtherBLUE SHIELD

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address lawrencecosner@rrh.medalliesdirect.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20080626000378 CA Practitioner - Emergency MedicinePractitioner - Internal Medicine 5799695789 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G50371CAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgecrest Regional Hospital CurrentSince Jun 26, 2014 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients

Locations

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

1111 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-4571

1111 N China Lake Blvd
#190
Ridgecrest, CA 93555
Phone (760) 499-3855

Interoperability endpoints

  • Direct secure messaging: lawrencecosner@rrh.medalliesdirect.net

Ownership & related parties

All facility ownership & control disclosures 8

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ridgecrest Regional HospitalRidgecrest, CA, CCN 05Z333 Hospital Corporate Director May 1, 2023
Ridgecrest Regional Transitional Care and Rehabilitation UnitRidgecrest, CA, CCN 555877 Skilled nursing facility Corporate Director May 1, 2023
Ridgecrest Regional Hospital Rural Health ClinicRidgecrest, CA, CCN 058655 Rural health clinic Corporate Director May 1, 2023
Ridgecrest Regional HospitalTrona, CA, CCN 058670 Rural health clinic Corporate Director May 1, 2023
Ridgecrest Obstetrics ClinicRidgecrest, CA, CCN 058699 Rural health clinic Corporate Director May 1, 2023
RRH Mobile Health ClinicRidgecrest, CA, CCN 058709 Rural health clinic Corporate Director May 1, 2023
Southern Sierra Medical ClinicRidgecrest, CA, CCN 058712 Rural health clinic Corporate Director May 1, 2023
China Lake Community Health ClinicRidgecrest, CA, CCN 058726 Rural health clinic Corporate Director May 1, 2023

Owned or controlled facilities with NPI records 8

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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": "1117670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1851393813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 N. CHINA LAKE BLVD SUITE 190",
            "address_2": "RIDGECREST RURAL HEALTH CLINIC",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-499-3854",
            "fax_number": "760-499-3870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 N. CHINA LAKE BLVD SUITE 190",
            "address_2": "RIDGECREST RURAL HEALTH CLINIC",
            "city": "RIDGECREST",
            "state": "CA",
            "postal_code": "93555",
            "telephone_number": "760-499-3855",
            "fax_number": "760-499-3870"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSNER",
        "first_name": "LAWRENCE",
        "middle_name": "N.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-02",
        "last_updated": "2023-03-07",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "G50371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "JOHN DEERE",
            "identifier": "CA0103",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110039740",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHI HEALTHLINK",
            "identifier": "182651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "00G503710",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G503710",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DME",
            "identifier": "0616650001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMMERCIAL INS.",
            "identifier": "00G503710",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRIWEST/TRICARE",
            "identifier": "93555B097",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "00G503710",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lawrencecosner@rrh.medalliesdirect.net",
            "affiliation": "N",
            "endpointDescription": "RRH Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1111 N. China Lake Blvd Suite 190",
            "address_2": "Ridgecrest Rural Health Clinic",
            "city": "Ridgecrest",
            "state": "CA",
            "country_code": "US",
            "postal_code": "93555",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgecrest, CA

Sources for this page

Verify at the official NPI Registry.