Michael A Kosmo, MD

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G54074 Issued in CA

Practice address

625 Citracado Pkwy
#110
Escondido, CA 92025-6428

Phone

(760) 747-8935

Fax

(760) 466-0078

NPI assigned

May 27, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mkosmo81215@scrippshlth.medalliesdirect.net
• Direct secure messaging: michael.kosmo@ccare.direct.varian.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Scripps Health

  • General Acute Care Hospital
  • San Diego, CA
  • NPI 1487928891
  NPD
• Southland Hematology Oncology Medical Group, Inc

  • Hematology & Oncology Physician
  • Hemet, CA
  • NPI 1952301947
  NPD (past)
• Southwest Hematology Oncology Medical Group

  • Hematology & Oncology Physician
  • Murrieta, CA
  • NPI 1578697017
  NPD (past)

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580083200000",
    "number": "1891742847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 25100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937295100",
            "telephone_number": "559-326-1222",
            "fax_number": "559-326-1230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CITRACADO PKWY",
            "address_2": "#110",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920256428",
            "telephone_number": "760-747-8935",
            "fax_number": "760-466-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOSMO",
        "first_name": "MICHAEL",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2020-01-27",
        "certification_date": "2020-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G54074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karin C. Kordas, M.D.
• Reut Koren Afriat
• Margaret Korody, REGISTERED DIETITIAN
• Idris Ross Kose, DC
• Carol Goolsby Koshimizu, MS, AMFT
• Vanita Kothiya
• Kourosh Khamooshian MD, PC
• Michelle Babette Kout, LMFT
• Danielle Anita Kramer, RADT1, ASW
• Sandy Krasovec

• Hematology & Oncology Physician in Escondido, CA
• Providers in Escondido, CA by specialty
• Hematology & Oncology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.