Organization Active NPI

Carlos a Cosenza MD Inc

  • Surgery Physician
  • Los Angeles, CA
National Provider Identifier
1881717635
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A053355 Issued in CA
Legal business name
CARLOS A COSENZA MD INC
Practice address
201 S Alvarado Street
#602
Los Angeles, CA 90057-2354
Phone
(213) 413-2930
Fax
(213) 413-7734
NPI assigned
Apr 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Carlos Alberto Cosenza, MDNPI 1407882137
Title
President
Phone
(213) 393-1979

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X A053355 CA Primary

Addresses

Primary practice location

201 S Alvarado Street
#602
Los Angeles, CA 90057-2354

Mailing address

19329 Caladero Street
Tarzana, CA 91356-5501
Phone (818) 986-8171

Other identifiers 1

IdentifierTypeStateIssuer
00A533551MedicaidCA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20140729002477 CA Part B Supplier - Clinic/Group Practice 6406072354 Receives reassigned benefits from 1 practitioner
Practice locations: Los Angeles, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1881717635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19329 CALADERO STREET",
            "city": "TARZANA",
            "state": "CA",
            "postal_code": "913565501",
            "telephone_number": "818-986-8171",
            "fax_number": "818-986-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 S ALVARADO STREET",
            "address_2": "#602",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900572354",
            "telephone_number": "213-413-2930",
            "fax_number": "213-413-7734"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARLOS A COSENZA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COSENZA",
        "authorized_official_first_name": "CARLOS",
        "authorized_official_middle_name": "ALBERTO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "213-393-1979",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A053355",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A533551",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.