Active NPI
Mary Coleman, M.D.
- Developmental - Behavioral Pediatrics Physician
- Tacoma, WA
National Provider Identifier
1093743619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental - Behavioral Pediatrics Physician
- License
- G072907
- Practice address
- 5005 Main St
Tacoma
Tacoma, WA 98407-3168 - Phone
- (925) 360-3102
- NPI assigned
- Jun 30, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD60459088 | WA | |
| Pediatrics Physician | 208000000X | G72907 | CA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | MD60459088 | WA | |
| Pediatric Neurodevelopmental Disabilities Physician | 2080P0008X | MD60459088 | WA | |
| Developmental - Behavioral Pediatrics Physician | 2080P0006X | G072907 | CA | Primary |
Addresses
Primary practice location
5005 Main St
Tacoma
Tacoma, WA 98407-3168
Mailing address
1900 Garden Rd Ste 200
Monterey, CA 93940-5334
Phone (833) 328-4523
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G729070 | Medicaid | CA |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72907 | CA | MD | Clinical Social Worker |
| G72907 | CA | MD | Pediatrics Physician |
| MD60459088 | WA | MD | Pediatrics Physician |
| G072907 | CA | MD | Developmental - Behavioral Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| Pacific Coast Developmental and Behavioral Pediatrics | Developmental - Behavioral Pediatrics | Current | Accepting new patients |
| Southern Monterey County Memorial Hospital | Current | Accepting new patients | |
| County of Monterey Behavioral Health | Current | Accepting new patients | |
| County of Monterey | Current | Accepting new patients | |
| University of California San Francisco | Past | Accepting new patients |
Locations
300 Canal St
King City, CA 93930
Phone (831) 385-6000
210 Canal St
King City, CA 93930
Phone (931) 385-7100
1900 Garden Rd
Ste 200
Monterey, CA 93940
Phone (831) 250-6770
1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/JDEGCD
Organizations & group practices 6
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.
-
- General Acute Care Hospital
- Salinas, CA
- NPI 1205863255
-
- Critical Access Hospital
- King City, CA
- NPI 1114917564
-
- Developmental - Behavioral Pediatrics Physician
- Monterey, CA
- NPI 1487543690
-
- Adult Mental Health Clinic/Center
- Salinas, CA
- NPI 1053126003
-
- Clinic/Center
- King City, CA
- NPI 1336389600
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- San Francisco, CA
- NPI 1992818256
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1750809600000",
"number": "1093743619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1900 GARDEN RD STE 200",
"city": "MONTEREY",
"state": "CA",
"postal_code": "939405334",
"telephone_number": "833-328-4523"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5005 MAIN ST",
"address_2": "TACOMA",
"city": "TACOMA",
"state": "WA",
"postal_code": "984073168",
"telephone_number": "925-360-3102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLEMAN",
"first_name": "MARY",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-30",
"last_updated": "2025-06-25",
"certification_date": "2025-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD60459088",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G72907",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "WA",
"license": "MD60459088",
"primary": false
},
{
"code": "2080P0008X",
"taxonomy_group": "",
"desc": "Pediatrics, Neurodevelopmental Disabilities",
"state": "WA",
"license": "MD60459088",
"primary": false
},
{
"code": "2080P0006X",
"taxonomy_group": "",
"desc": "Pediatrics, Developmental - Behavioral Pediatrics",
"state": "CA",
"license": "G072907",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G729070",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.