KATHLEEN M COFFMAN (NPI# 1013912575) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013912575 |
| Entity Type | Individual |
| Full Name | KATHLEEN M COFFMAN |
| Credential | PA |
| Practice Address |
19066 Magnolia St Huntington Beach CA 92646-2232 |
| Mailing Address |
15631 Eden St Westminster CA 92683-6828 |
| Practice Telephone | 7149680068 |
| Mailing Telephone | 7148981855 |
| Enumeration Date | 2005-06-20 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA15569 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
19066 MAGNOLIA ST |
| City | HUNTINGTON BEACH |
| State | CA |
| Zip Code | 92646-2232 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205830890 | Kenneth Steven Alpern | Dermatology | 19066 Magnolia St, Huntington Beach, CA 92646 | 2005-06-10 |
| 1417558404 | Orthowest | Durable Medical Equipment & Medical Supplies | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2020-11-05 |
| 1659938215 | Michael Ramirez | Physical Therapy Assistant | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2019-05-20 |
| 1306333166 | United Medical Imaging Healthcare, Inc. | Clinic/Center | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2018-04-17 |
| 1497125447 | Heather Dayna Nguyen | Registered Nurse | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2015-10-03 |
| 1326446022 | Keith Michael Castro | Student in an Organized Health Care Education/Training Program | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2014-12-11 |
| 1629320148 | Connect Hearing, Inc. | Audiologist | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2012-10-08 |
| 1134407166 | Jonathan Mou Jun Shiau | Urology | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2011-07-25 |
| 1487965448 | Merin Akemi Yoshida | Podiatrist | 19066 Magnolia St, Huntington Beach, CA 92646-2232 | 2010-06-24 |
| 1144552894 | Dena Zedan | Internal Medicine | 19066 Magnolia St, Healthcare Partners, Huntington Beach, CA 92646-2232 | 2010-02-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255809000 | Geraldine Anne Loughran-beutler | Registered Nurse | 9941 Hot Springs Dr, Huntington Beach, CA 92646 | 2018-11-09 |
| 1740646934 | Srinivasa Murthy | Pediatrics | 8851 Baywood Drive, Huntington Beach, CA 92646 | 2016-01-05 |
| 1134584436 | A & A Pharmacies Inc | Durable Medical Equipment & Medical Supplies | 9106 Adams Ave, Huntington Beach, CA 92646 | 2015-12-31 |
| 1053776302 | A&a Pharmacies, Inc. | Pharmacy | 9106 Adams Avenue, 9108, Huntington Beach, CA 92646 | 2015-12-30 |
| 1194101956 | The Piercy Group, Inc. | Physical Therapist | 19032 Magnolia St. B, Huntington Beach, CA 92646 | 2015-08-04 |
| 1033596788 | Peter Sumarsono Professional Dental Corporation | Preferred Provider Organization | 9110 Adams Avenue, Huntington Beach, CA 92646 | 2015-05-01 |
| 1427446640 | Celline Thanh Pham Dds, Inc | Dentist | 19059 Bushard St, Huntington Beach, CA 92646 | 2014-12-23 |
| 1538565320 | Orange County Urgent Care #3 Inc. | Clinic/Center | 10026-10028 Adams Avenue, Huntington Beach, CA 92646 | 2014-11-06 |
| 1184065948 | Megan Price | Behavioral Analyst | 8902 Albatross, Huntington Beach, CA 92646 | 2013-07-09 |
| 1699029504 | Jean-pierre Jacques Dufour | Family Medicine | 8952 Faust Cir., Huntington Beach, CA 92646 | 2012-10-30 |
| Find all providers in zip 92646 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639306749 | Lacey May Carpenter | Physician Assistant | 17742 Beach Blvd Ste 240, Huntington Beach, CA 92647-6835 | 2009-06-16 |
| 1093815847 | Javad Javadi Khomami | Physician Assistant | 5541 Mossvale Cir, Huntington Beach, CA 92649-4824 | 2006-09-22 |
| 1467469940 | Michael Scott Burney | Physician Assistant | 5888 Edinger Ave, Huntington Beach, CA 92649-1705 | 2006-08-01 |
| 1497126007 | Rachel Kramer | Physician Assistant | 19582 Beach Blvd, 314, Huntington Beach, CA 92648-2996 | 2015-10-08 |
| 1740627934 | Yun Wang | Physician Assistant | 17822 Beach Blvd, Huntington Beach, CA 92647-7101 | 2013-05-28 |
| 1619243854 | Alice Chen | Physician Assistant | 18800 Main St, Suite108, Huntington Beach, CA 92648-1707 | 2012-03-30 |
| 1962702084 | Katherine L Vo-gonzalez | Physician Assistant | 17742 Beach Blvd, Ste 215, Huntington Beach, CA 92647-6818 | 2010-10-22 |
| 1215261771 | Matthew Kent Chandler | Physician Assistant | 19582 Beach Blvd, Huntington Beach, CA 92648-2996 | 2009-09-30 |
| 1720199326 | Esther J Chung-watanabe | Physician Assistant | 17752 Beach Blvd, Suite 203, Huntington Beach, CA 92647-6838 | 2006-08-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760089437 | Karine Harutyunyan | Physician Assistant | 500 E Colorado St Ste 101, Glendale, CA 91205-1607 | 2020-10-06 |
| 1437756228 | Kale Burket | Physician Assistant | Bldg 523, S 8th St, El Centro, CA 92243 | 2020-10-05 |
| 1548867666 | Heba Marzouk Al-shoubaki | Physician Assistant | 633 S Pepper St, Anaheim, CA 92802-1459 | 2020-10-01 |
| 1275140550 | Lisa Lynn Passalacqua | Physician Assistant | 431 7th St, Norco, CA 92860-1671 | 2020-09-30 |
| 1144833989 | Trisha Taylor | Physician Assistant | 10399 Tivoli Way, Yucaipa, CA 92399-6017 | 2020-08-30 |
| 1457963944 | Harlan William Monahan | Physician Assistant | 5210 Del Rio Rd, Sacramento, CA 95822-2519 | 2020-08-18 |
| 1275144313 | Sofia Carmen Bustillo | Physician Assistant | 1709 Coral Pl, Seal Beach, CA 90740-5712 | 2020-08-12 |
| 1124638663 | Gayaneh Gharakhani | Physician Assistant | 1323 E Broadway Apt 110, Glendale, CA 91205-4018 | 2020-08-07 |
| 1144830183 | Loc Bao Tran | Physician Assistant | 8937 Emerson Pl, Rosemead, CA 91770-2813 | 2020-08-04 |
| 1558997957 | Sarah Lubinsky | Physician Assistant | 1511 Montana Ave, Santa Monica, CA 90403-1891 | 2020-03-17 |
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| City | HUNTINGTON BEACH |
| Zip Code | 92646 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.