Active NPI
David L Kosh, M.D.
- Family Medicine Physician
- Sacramento, CA
National Provider Identifier
1861490286
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- G40670
- Practice address
- 8110 Timberlake Way
Sacramento, CA 95823-5401 - Phone
- (916) 689-4111
- Fax
- (916) 689-6620
- NPI assigned
- Jul 9, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | G40670 | CA | Primary |
Addresses
Primary practice location
8110 Timberlake Way
Sacramento, CA 95823-5401
Mailing address
8110 Timberlake Way
Sacramento, CA 95823-5401
Phone (916) 689-4111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080112042 | Other | CA | RAILRAOD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1383868800000",
"number": "1861490286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8110 TIMBERLAKE WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235401",
"telephone_number": "916-689-4111",
"fax_number": "916-689-6620"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8110 TIMBERLAKE WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958235401",
"telephone_number": "916-689-4111",
"fax_number": "916-689-6620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KOSH",
"first_name": "DAVID",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-09",
"last_updated": "2013-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "G40670",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILRAOD MEDICARE",
"identifier": "080112042",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.