Active NPI
Carlos a Cosenza MD Inc
- Surgery Physician
- Los Angeles, CA
National Provider Identifier
1881717635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A053355
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Carlos Alberto Cosenza, MD
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A533551 | Medicaid | CA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Surgery Physician
- Los Angeles, CA
- NPI 1407882137
-
- Surgery Physician
- Los Angeles, CA
- NPI 1053411637
-
- Gastroenterology Physician
- Los Angeles, CA
- NPI 1225010663
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.