Individual provider Active NPI

William Charles Coman, CADC I

  • Case Manager/Care Coordinator
  • Moreno Valley, CA
National Provider Identifier
1104279991
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Practice address
23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661
Phone
(951) 413-5808
NPI assigned
Jul 18, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X CI15690518 CA
Case Manager/Care Coordinator 171M00000X Primary

Addresses

Primary practice location

23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661

Mailing address

23119 Cottonwood Ave Ste 100
Moreno Valley, CA 92553-9661
Phone (519) 413-5808

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
CI15690518CAMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1468800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1104279991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23119 COTTONWOOD AVE STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539661",
            "telephone_number": "519-413-5808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23119 COTTONWOOD AVE STE 100",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925539661",
            "telephone_number": "951-413-5808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COMAN",
        "first_name": "WILLIAM",
        "middle_name": "CHARLES",
        "credential": "CADC I",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-18",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "CA",
            "license": "CI15690518",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Moreno Valley, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2019; 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.