Charles R. Kossman, M.D., Inc.

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

G28857 Issued in CA

Legal business name

CHARLES R. KOSSMAN, M.D., INC.

Practice address

5555 Reservoir Dr
#306
San Diego, CA 92120-5134

Phone

(619) 287-9910

Fax

(619) 287-3526

NPI assigned

Dec 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Charles Richard Kossman, M.D.

Title

President

Phone

(619) 287-9910

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1261440000000",
    "number": "1932438637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR",
            "address_2": "#306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205134",
            "telephone_number": "619-287-9910",
            "fax_number": "619-287-3526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5555 RESERVOIR DR",
            "address_2": "#306",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921205134",
            "telephone_number": "619-287-9910",
            "fax_number": "619-287-3526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHARLES R. KOSSMAN, M.D., INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-12-09",
        "last_updated": "2009-12-22",
        "status": "A",
        "authorized_official_last_name": "KOSSMAN",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "619-287-9910",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "CA",
            "license": "G28857",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL NPI",
            "identifier": "1184799892",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE INDIVIDUAL PTAN",
            "identifier": "CN534Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "CN538A",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Neltada Charlemagne, PMHNP
• Charles D Schlesinger Dental Corporation (Black Mountain Family Dentistry)
• Charles Le M.D. Peace of Mind Alliances (Beautiful Mind Wellness Center)
• Charles N Le Medical Alliance (Compassionate Care Medical Center)
• Charles N Le, MD (iKidney Care Clinic)
• Lena Elizabeth Charles
• Vicki Achan Charles
• Cherry Charlestham, PHARM.D.
• Gay Sophia Yu Charley, NP
• Charlie Chen, M.D., Corp.

• Hematology & Oncology Physician in San Diego, CA
• Providers in San Diego, 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 Dec 22, 2009; 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.