Individual provider Active NPI

Joseph R. Coscia, MD

  • Plastic Surgery Physician
  • Sacramento, CA
National Provider Identifier
1982861753
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
A105556 Issued in CA
Practice address
95 Scripps Drive
Sacramento, CA 95825-6320
Phone
(916) 929-1833
Fax
(916) 929-6730
NPI assigned
May 20, 2008
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X A105556 CA Primary

Addresses

Primary practice location

95 Scripps Drive
Sacramento, CA 95825-6320

Mailing address

95 Scripps Drive
Sacramento, CA 95825-6320
Phone (916) 929-1833

Other identifiers 2

IdentifierTypeStateIssuer
ET966SOtherCAMEDICARE PTAN
ET966TOtherCAMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110420000641 CA Practitioner - Plastic and Reconstructive SurgeryPractitioner - General Surgery 8224213020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A105556CAMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Plastic Surgery Center Current Accepting new patients
Granite Bay Surgery Center, LLC Current Accepting new patients

Locations

95 Scripps Dr
Sacramento, CA 95825
Phone (916) 929-1833

Interoperability endpoints

  • Direct secure messaging: jcoscia117710@hisp.ehr.sutterhealth.org

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1211241600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1982861753",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "95 SCRIPPS DRIVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256320",
            "telephone_number": "916-929-1833",
            "fax_number": "916-929-6730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "95 SCRIPPS DRIVE",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958256320",
            "telephone_number": "916-929-1833",
            "fax_number": "916-929-6730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSCIA",
        "first_name": "JOSEPH",
        "middle_name": "R.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-05-20",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "CA",
            "license": "A105556",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ET966S",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "ET966T",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sacramento, CA

Sources for this page

Verify at the official NPI Registry.