Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kevin Mark Kozakowski, DO

Individual provider Internal Medicine Physician · NPI 1093574410

Kevin Mark Kozakowski, DO is an Internal Medicine in San Diego, California. Graduated from Des Moines University of Osteopathic Medicine and Health Sciences in 2024, 2 years ago. Works from 2 locations. Licensed in California.

Years since qualifying
2
Trained at
Des Moines University of Osteopathic Medicine and Health Sciences
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

4077 Fifth Ave # MER-35
San Diego, CA 92103-2105
Phone: (253) 310-3457
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4094 4th Ave, San Diego, CA 92103-2143 — (619) 515-2545

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 20A24862 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1093574410
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedMarch 18, 2024
Last updated in NPPESJune 3, 2026
Certification dateJune 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolDES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Graduated 2024 (2 years in practice)
Accepts Medicare assignment Not indicated

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