Individual provider Active NPI

Mary Annette Cote, M.D.

  • Ophthalmology Physician
  • Huntington Beach, CA
National Provider Identifier
1114985892
Registry record updated Nov 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
G45008 Issued in CA
Practice address
17742 Beach Blvd
Suite 305
Huntington Beach, CA 92647-6818
Phone
(714) 596-4488
Fax
(714) 596-5522
NPI assigned
May 3, 2006
Last updated
Nov 14, 2008By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X G45008 CA Primary

Addresses

Primary practice location

17742 Beach Blvd
Suite 305
Huntington Beach, CA 92647-6818

Mailing address

17742 Beach Blvd
Suite 305
Huntington Beach, CA 92647-6818
Phone (714) 596-4488

Other names 1

  • Dr. Mary Annette Cote Former name

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
I20050519000786 CA Practitioner - Ophthalmology 8123069101 Reassigns benefits to 1 organization
Practice locations: Huntington Beach, CA

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G45008CAMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Keith V. Rundle M.D., Inc. Ophthalmology CurrentSince Nov 12, 2017 Accepting new patients
Glenda B Secor, OD, Faao, Inc PastSince Jul 20, 2010 Accepting new patients

Locations

1031 W Chapman Ave
Ste 2
Orange, CA 92868
Phone (714) 558-2822

1031 W Chapman Ave
Ste 203
Orange, CA 92868
Phone (714) 221-2020

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1226620800000",
    "number": "1114985892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-596-4488",
            "fax_number": "714-596-5522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17742 BEACH BLVD",
            "address_2": "SUITE 305",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926476818",
            "telephone_number": "714-596-4488",
            "fax_number": "714-596-5522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTE",
        "first_name": "MARY",
        "middle_name": "ANNETTE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "CA",
            "license": "G45008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARY",
            "last_name": "COTE",
            "middle_name": "ANNETTE",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Huntington Beach, CA

Sources for this page

Verify at the official NPI Registry.