Theresa Cotter

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

63657 Issued in CA

Practice address

11770 Bernardo Plaza CT Ste 201
San Diego, CA 92128-2424

Phone

(760) 753-7127

Fax

(760) 334-0399

NPI assigned

Nov 21, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Coastal Pain & Spinal Diagnostics Medical Group, Inc.

  • Pain Clinic/Center
  • Carlsbad, CA
  • NPI 1710044029
  Medicare reassignment

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

{
    "created_epoch": "1700524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779753600000",
    "number": "1073388930",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6221 METROPOLITAN ST STE 201",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920093096",
            "telephone_number": "760-753-7127",
            "fax_number": "760-334-0399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11770 BERNARDO PLAZA CT STE 201",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921282424",
            "telephone_number": "760-753-7127",
            "fax_number": "760-334-0399"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6221 Metropolitan St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Carlsbad",
            "state": "CA",
            "postal_code": "920093096",
            "country_code": "US",
            "telephone_number": "760-753-7127",
            "fax_number": "760-334-0399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COTTER",
        "first_name": "THERESA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-11-21",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "63657",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana E Coto Meza
• Isabella Cotten
• Allison Elizabeth Cotter
• Bruno R. Cotter, M.D.
• Cynthia A. Cotter, PH.D.
• Carla Ann Cottingham
• Nancy Eileen Cottingham, LCSW
• Julie Anne Cottle
• Jenna Cotton, L.AC
• Matthew Cottrell

• Physician Assistant in San Diego, CA
• Providers in San Diego, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.