Organization Active NPI

Cosa San Diego

  • Supports Brokerage Agency
  • Imperial Beach, CA
National Provider Identifier
1982511242
Registry record updated Sep 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Supports Brokerage AgencyTaxonomy code 251X00000X
Legal business name
COSA SAN DIEGO
Practice address
1112 Seacoast Dr Apt 11
Imperial Beach, CA 91932-3131
Phone
(503) 318-5438
NPI assigned
Aug 24, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2026

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

Authorized official

Name
Mr. Thomas Cornwell
Title
Director of Operations
Phone
(619) 871-4924

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X
Community/Behavioral Health Agency 251S00000X
Supports Brokerage Agency 251X00000X Primary

Addresses

Primary practice location

1112 Seacoast Dr Apt 11
Imperial Beach, CA 91932-3131

Mailing address

1112 Seacoast Dr Apt 9
Imperial Beach, CA 91932-3131

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788393600000",
    "number": "1982511242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1112 SEACOAST DR APT 9",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 SEACOAST DR APT 11",
            "city": "IMPERIAL BEACH",
            "state": "CA",
            "postal_code": "919323131",
            "telephone_number": "503-318-5438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COSA SAN DIEGO",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-09-03",
        "certification_date": "2026-09-03",
        "status": "A",
        "authorized_official_last_name": "CORNWELL",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "619-871-4924",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251X00000X",
            "taxonomy_group": "",
            "desc": "Supports Brokerage",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Imperial Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.