David Kosh (NPI# 1861490286, PAC ID# 3870482458) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1861490286 |
| PAC ID by PECOS | 3870482458 |
| Professional Enrollment ID | I20040311001461 |
| Full Name | David Kosh |
| Organization Legal Name | ASSOCIATED FAMILY PHYSICIANS INC |
| Address |
417 C St Galt CA 95632-1958 |
| Phone Number | 2097451778 |
| Gender | M |
| Credential | MD |
| Medical School | NORTHWESTERN UNIVERSITY MEDICAL SCHOOL |
| Graduation Year | 1975 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 6800788829 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 050590 | METHODIST HOSPITAL OF SACRAMENTO |
| Address | Phone | Organization |
|---|---|---|
| 417 C St, Galt, CA 95632-1958 | 2097451778 | ASSOCIATED FAMILY PHYSICIANS INC |
| 8110 Timberlake Way, Sacramento, CA 95823-5401 | 9166894111 | ASSOCIATED FAMILY PHYSICIANS INC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ASSOCIATED FAMILY PHYSICIANS INC |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malathi Shanmugam | Family Medicine | Associated Family Physicians Inc | 417 C St, Galt, CA 95632-1958 |
| Ethan Mathews | Family Medicine | Associated Family Physicians Inc | 8110 Timberlake Way, Sacramento, CA 95823-5401 |
| Cindy Her | Family Practice | Associated Family Physicians Inc | 417 C St, Galt, CA 95632-1958 |
| Street Address |
417 C ST |
| City | GALT |
| State | CA |
| Zip | 95632-1958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Malathi Shanmugam | Family Medicine | Associated Family Physicians Inc | 417 C St, Galt, CA 95632-1958 |
| Cindy Her | Family Practice | Associated Family Physicians Inc | 417 C St, Galt, CA 95632-1958 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kaio Alan Doxey | Chiropractic | 550 Industrial Dr, Suite 250, Galt, CA 95632-1648 | |
| Ayman G Damen | General Practice | 150 N Lincoln Way, Galt, CA 95632-1721 | |
| Mary K Barry | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 1067 C St, Suite 110, Galt, CA 95632-1758 |
| Daniel L Lara | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 1067 C St, Suite 110, Galt, CA 95632-1758 |
| Jennifer M Metzler | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 1067 C St, Suite 110, Galt, CA 95632-1758 |
| Cherish Obenza Canda | Physical Therapy | San Luis Physical Therapy and Orthopedic Rehabilitation Inc | 1067 C St, Suite 110, Galt, CA 95632-1758 |
| David Quang Le | Optometry | 1061 C St, Suite 140, Galt, CA 95632-1768 | |
| Kimberlee Itsuko Sakai | Optometry | 730 Spaans Dr A, Galt, CA 95632-8611 |
| City | GALT |
| Zip Code | 95632 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | GALT + FAMILY MEDICINE |
Please comment or provide details below to improve the information on David Kosh.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.