MR. MALCOLM DAVID COSGROVE MD NPI 1609857309

NPI Information

NPI: 1609857309
Provider Name: MR. MALCOLM DAVID COSGROVE, MD
Classification: Urology - 208800000X
Entity Type: Individual

PECOS Registration: Yes

Address:
16311 VENTURA BLVD
STE 1000
ENCINO, CA
ZIP 91436
Phone: (818) 906-0635
Get Directions

MR. Malcolm David Cosgrove, MD is an urology in Encino, CA. The provider is a urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures. MR. Malcolm David Cosgrove, MD NPI is 1609857309. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

16311 VENTURA BLVD
STE 1000
ENCINO, CA
ZIP 91436-147
Phone: (818) 906-0635
Fax: (818) 906-7303

The NPI 1609857309 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 11/9/2005 and was last updated on 2/11/2009.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208800000X	Urology		A25183	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00647436	OTHER	CALIFORNIA	RAILROAD MEDICARE PTAN
2	W195	MEDICARE ID-TYPE UNSPECIFIED
3	A24317	MEDICARE UPIN
4	Z22046856Z	OTHER	CALIFORNIA	BLUE SHIELD
5	340006193	MEDICARE ID-TYPE UNSPECIFIED	CALIFORNIA	RR
6	00A251830	MEDICAID	CALIFORNIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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