Individual provider Active NPI

Kalie Coslet, PA-C

  • Physician Assistant
  • La Mesa, CA
National Provider Identifier
1992181457
Registry record updated Jan 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
52695 Issued in CA
Practice address
5565 Grossmont Center Dr, Building 3
Suite 256
La Mesa, CA 91942-3098
Phone
(619) 462-3131
Fax
(619) 462-1731
NPI assigned
Aug 7, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 52695 CA Primary

Addresses

Primary practice location

5565 Grossmont Center Dr, Building 3
Suite 256
La Mesa, CA 91942-3098

Mailing address

5565 Grossmont Center Dr Ste 256
La Mesa, CA 91942-3098
Phone (619) 462-3131

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20151001002254 CA Practitioner - Physician Assistant 6305154840 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
G O M G a Medical PartnershipGroup PAC ID 1153427836, 13 clinicians

Practice addresses (Care Compare)

5565 Grossmont Ctr Dr
Suite 256
La Mesa, CA 91942-3098
Phone 6194623131232

Hospital & facility affiliations

  • Grossmont Hospital Hospital, La Mesa, CA, CCN 050026
  • Sharp Chula Vista Medical Center Hospital, Chula Vista, CA, CCN 050222

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Organizations & group practices 1

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1438905600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548115200000",
    "number": "1992181457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR STE 256",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423098",
            "telephone_number": "619-462-3131",
            "fax_number": "619-462-1731"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5565 GROSSMONT CENTER DR, BUILDING 3",
            "address_2": "SUITE 256",
            "city": "LA MESA",
            "state": "CA",
            "postal_code": "919423098",
            "telephone_number": "619-462-3131",
            "fax_number": "619-462-1731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COSLET",
        "first_name": "KALIE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-07",
        "last_updated": "2019-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "52695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Mesa, CA

Sources for this page

Verify at the official NPI Registry.