Active NPI
Colleen Linda Coleman, M.D
- Surgery Physician
- Newport Beach, CA
National Provider Identifier
1154548485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- G080909
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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 DirectoryLocations
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.