Audley Lloyd Martin Osbourne, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME113487 Issued in FL

Practice address

11620 Wilshire Blvd Ste 600
Los Angeles, CA 90025-1776

Phone

(310) 876-5649

NPI assigned

Jun 19, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 10

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

Specialty

Urology

Education

Harvard Medical School, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Signature Medical Clinics IncGroup PAC ID 1759493216, 8 clinicians

Martin Luther King Jr Community Medical FoundationGroup PAC ID 8628359502, 193 clinicians

Oroville HospitalGroup PAC ID 1254234339, 93 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Oroville Hospital Hospital, Oroville, CA, CCN 050030
• Providence Holy Cross Medical Center Hospital, Mission Hills, CA, CCN 050278

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: aosbourne205685@westdirect.optum.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.

• Aevum Performance & Urology

  • Urology Physician
  • Los Angeles, CA
  • NPI 1891652129
  Medicare reassignment NPD Authorized official
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1235281759
  Medicare reassignment Care Compare group NPD
• Signature Medical Clinics Inc

  • Urology Physician
  • Los Angeles, CA
  • NPI 1942436548
  Medicare reassignment Care Compare group NPD
• Martin Luther King Jr Community Medical Foundation

  • Multi-Specialty Clinic/Center
  • Los Angeles, CA
  • NPI 1356899777
  Medicare reassignment Care Compare group
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment
• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment
• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1710372909
  NPD
• Adventist Health Heart Institute-Ukiah

  • Multi-Specialty Clinic/Center
  • Ukiah, CA
  • NPI 1417295643
  NPD (past)
• Genesiscare USA of Florida LLC

  • Urology Physician
  • Venice, FL
  • NPI 1316127152
  NPD (past)

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

• Oroville Hospital

  • General Acute Care Hospital
  • Oroville, CA
  • NPI 1871606269
  Care Compare affiliation
• Providence Health System - Southern California

  • General Acute Care Hospital
  • Mission Hills, CA
  • NPI 1477587632
  Care Compare affiliation

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

{
    "created_epoch": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1992900062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W COLTON AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923743108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11620 WILSHIRE BLVD STE 600",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900251776",
            "telephone_number": "310-876-5649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "OSBOURNE",
        "first_name": "AUDLEY",
        "middle_name": "LLOYD MARTIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME113487",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MA",
            "license": "L-224804",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DIMENSION",
            "identifier": "14426",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICALLICENSE",
            "identifier": "C149950",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01604782",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "9155643",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FREEDOM",
            "identifier": "P1035875",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "1096529",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AVMED",
            "identifier": "362745",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0363920",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTIMUM",
            "identifier": "P971629",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "14NN3",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ryan F. Osborne, M.D.
• Sandarae Osborne
• Sara Maria Osborne, NP
• Taylor Ryan Osborne
• Windellyn C Osborne
• Nathan Osbun
• Alexis Osby, PA-C
• Melanie Anne Osby, M.D.
• Jose Oscal-Castro
• Megan Ashley Oscar

• Urology Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Urology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.