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

Tina Kosakyan

Individual provider General Acute Care Hospital · NPI 1023356623

Tina Kosakyan is an Internal Medicine in Bronx, New York. Qualified in 2002, 24 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
24
Licensed in
CA
In the registry since
2013
Specialties on file
2
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Practice location Address checks out

234 E 149th St
Bronx, NY 10451-5504
Phone: (718) 579-5016
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence A134696 (CA)
General Acute Care Hospital Taxonomy 282N00000X

Record details

NPI number1023356623
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 17, 2013
Last updated in NPPESNovember 4, 2021
Certification dateNovember 4, 2021
Mailing address234 E 149th St, Bronx, NY 10451-5504

Medicare enrollment

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

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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