Alan Jason Coe, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

C53488 Issued in CA

Practice address

116 N Robertson Blvd
Suite 805
Los Angeles, CA 90048-3103

Phone

(310) 601-4437

Fax

(818) 505-3814

NPI assigned

Nov 18, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1132272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347494400000",
    "number": "1083696520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5046 COFLER LN",
            "city": "VALLEY VILLAGE",
            "state": "CA",
            "postal_code": "916072900",
            "telephone_number": "310-601-4437",
            "fax_number": "818-505-3814"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "116 N ROBERTSON BLVD",
            "address_2": "SUITE 805",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483103",
            "telephone_number": "310-601-4437",
            "fax_number": "818-505-3814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COE",
        "first_name": "ALAN",
        "middle_name": "JASON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-18",
        "last_updated": "2012-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "LA",
            "license": "014143",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MS",
            "license": "14237",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "C53488",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1302759",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Code 3 Response Corp
• Ray Patrick Alidon Codera, PTA
• Suzanne Codiga, RN
• Matthew Codispoti
• Kimberly Cody, B.A
• Liza Jia Coe, NP
• Jordanna Joaquina Coelho, C.G.C
• Dustin Octavio Coello
• Christin Marie Coffeen, M.S., C.G.C.
• Dean Mason Coffey, PSY.D.

• Psychiatry Physician in Los Angeles, CA
• Providers in Los Angeles, CA by specialty
• Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.