Individual provider Active NPI

John Michael Coffey, MD

  • Family Medicine Physician
  • Visalia, CA
National Provider Identifier
1003826728
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
G37339 Issued in CA
Practice address
107 N Hall St
Ste D
Visalia, CA 93291-5850
Phone
(559) 733-4775
Fax
(559) 733-1783
NPI assigned
Aug 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X G37339 CA Primary

Addresses

Primary practice location

107 N Hall St
Ste D
Visalia, CA 93291-5850

Mailing address

107 N Hall St
Ste D
Visalia, CA 93291-5850
Phone (559) 733-4775

Other identifiers 1

IdentifierTypeStateIssuer
00G373390MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041104001233 CA Practitioner - Family Practice 8224091863 Practice locations: Visalia, CA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G37339CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Visalia Family Practice Medical Group Family Medicine PastSince Jul 15, 2019 Accepting new patients
Elite Corporate Medical Services Inc. Family Medicine PastSince Feb 1, 2021 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EAFIAA
  • FHIR API: https://fhir4.healow.com/fhir/r4/AFIIBA/Endpoint/AFIIBA

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003826728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 N HALL ST",
            "address_2": "STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915850",
            "telephone_number": "559-733-4775",
            "fax_number": "559-733-1783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 N HALL ST",
            "address_2": "STE D",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932915850",
            "telephone_number": "559-733-4775",
            "fax_number": "559-733-1783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COFFEY",
        "first_name": "JOHN",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G37339",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G373390",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

Verify at the official NPI Registry.