Organization Active NPI

Colleen Linda Coleman, M.D

  • Surgery Physician
  • Newport Beach, CA
National Provider Identifier
1154548485
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G080909 Issued in CA
Legal business name
COLLEEN LINDA COLEMAN, M.D
Practice address
510 Superior Ave
Suite 200G
Newport Beach, CA 92663-3663
Phone
(949) 791-6767
NPI assigned
Apr 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Authorized official

Name
Colleen Linda Coleman, M.D.
Title
Owner
Phone
(949) 791-6767

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X G080909 CA Primary

Addresses

Primary practice location

510 Superior Ave
Suite 200G
Newport Beach, CA 92663-3663

Mailing address

510 Superior Ave
Suite 200-G
Newport Beach, CA 92663-3663
Phone (949) 791-6767

National Provider Directory

National Provider Directory

Locations

1401 Avocado Ave
Ste 303
Newport Beach, CA 92660
Phone (949) 717-0072

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359417600000",
    "number": "1154548485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "SUITE 200-G",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633663",
            "telephone_number": "949-791-6767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SUPERIOR AVE",
            "address_2": "SUITE 200G",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926633663",
            "telephone_number": "949-791-6767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLLEEN LINDA COLEMAN, M.D",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-19",
        "last_updated": "2013-01-29",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "949-791-6767",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "G080909",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2013; 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.