DR. BRENT COFFMAN (NPI# 1063862134) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063862134 |
| Entity Type | Individual |
| Full Name | DR. BRENT COFFMAN |
| Credential | DC |
| Practice Address |
1601 Carmen Dr Ste 112 Camarillo CA 93010-3100 |
| Practice Telephone | 8053839114 |
| Mailing Telephone | (805) 383-9114 |
| Enumeration Date | 2016-06-20 |
| Last Update Date | 2017-07-31 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | 33609 | CA | Chiropractic Providers |
| Street Address |
1601 CARMEN DR STE 112 |
| City | CAMARILLO |
| State | CA |
| Zip Code | 93010-3100 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992229058 | Coffman Chiropractic Corp. | Chiropractor | 1601 Carmen Dr Ste 112, Camarillo, CA 93010-3100 | 2017-07-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588261366 | Edith Gallardo | Behavior Technician | 400 Mobile Avenue Suite A-3, Camarillo, CA 93010 | 2020-10-05 |
| 1568094761 | Amanda Montoya | Physical Therapist | 58 Calle Escalon, Camarillo, CA 93010 | 2020-02-06 |
| 1518509678 | Esther Marie Brown Gonzalez | Technician | 2826 Munson St, Camarilla, CA 93010 | 2019-10-10 |
| 1023666385 | Nancy Monetta Wigert | Speech-Language Pathologist | 155 Granada Street #a, Camarillo, CA 93010 | 2019-08-29 |
| 1174098651 | Tatianna Kraft | Counselor | 4243 Vincente Ave, Camarillo, CA 93010 | 2018-10-10 |
| 1861977662 | Marina Wischnack | Psychologist | 1200 Paseo Camarillo, Suite 245, Camarillo, CA 93010 | 2018-09-27 |
| 1417430620 | Peter Lawrence Mcdermott | Anesthesiology | 141 Lapatera Drive, Camarillo, CA 93010 | 2018-09-13 |
| 1689162521 | Mehgan Lynn Lambert | Specialist | 333 Skyway Drive, Camarillo, CA 93010 | 2018-04-26 |
| 1134643208 | Hailey Kay Kohler | Social Worker | 692 Spring Oak Road Unit 721, Camarillo, CA 93010 | 2017-08-01 |
| 1174052369 | Demi Shugrue | Counselor | 2021 Sperry Ave, Suite 37, Ventura, CA 93010 | 2017-06-09 |
| Find all providers in zip 93010 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548886328 | Joseph Edward Valdez II | Chiropractor | 333 N Lantana St Ste 132, Camarillo, CA 93010-9007 | 2020-06-17 |
| 1669019709 | Tyler James Erickson | Chiropractor | 1200 Paseo Camarillo Ste 160, Camarillo, CA 93010-6085 | 2019-12-09 |
| 1821345653 | Aaron Matthew Ayala | Chiropractor | 370 N Lantana St, Ste 17, Camarillo, CA 93010-9028 | 2012-08-10 |
| 1730480575 | Stanley D. Jensen, D.c. A Chiropractic Corporation | Chiropractor | 3687 Las Posas Rd Ste 185, Camarillo, CA 93010-1431 | 2010-11-10 |
| 1932338209 | Aaron Christopher Bates | Chiropractor | 457 Carmen Dr, Camarillo, CA 93010-6010 | 2009-07-08 |
| 1003042284 | Kimberly Scott Peters | Chiropractor | 315 N Loop Dr, Camarillo, CA 93010-1225 | 2009-06-02 |
| 1821245374 | Joel Adiv Levitz | Chiropractor | 380 Mobil Ave, Ste 218-e, Camarillo, CA 93010-6311 | 2008-08-26 |
| 1992974745 | Keri Lee Johnson | Chiropractor | 45 Rincon Dr, Executive Suite 103-1b, Camarillo, CA 93012-8413 | 2008-02-26 |
| 1972791309 | Jeffery Charles Gisler | Chiropractor | 2155 Ventura Blvd, Camarillo, CA 93010-7934 | 2007-10-10 |
| 1053507947 | Lopez Family Chiropractic | Chiropractor | 266 Mobil Ave Ste 108, Camarillo, CA 93010-6371 | 2007-09-24 |
| Find all providers in CAMARILLO | ||||
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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.