Nancy Ellen Koehler, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA14868 Issued in CA

Practice address

30201 Golden Lantern
Suite B
Laguna Niguel, CA 92677-5979

Phone

(949) 373-1788

NPI assigned

Apr 2, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

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  Medicare reassignment

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1164543716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 VIA ESPIRITU",
            "city": "SAN CLEMENTE",
            "state": "CA",
            "postal_code": "926726002",
            "telephone_number": "949-492-7341"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30201 GOLDEN LANTERN",
            "address_2": "SUITE B",
            "city": "LAGUNA NIGUEL",
            "state": "CA",
            "postal_code": "926775979",
            "telephone_number": "949-373-1788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOEHLER",
        "first_name": "NANCY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA14868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Edyta Klimek, O.D.
• Edward D Klinicke
• Koala Bilingual Speech Therapy, Inc.
• Aaron Koba, LMFT
• Ellen Rosemary Koci, RN, BSN
• Kunyoung Koh
• Amitpal Singh Kohli, M.D.
• Farrokh Kolahi Aval
• Christina Rachel Kong, DPT
• Evan G Kotopoulis, PHARM.D.

• Medical Physician Assistant in Laguna Niguel, CA
• Providers in Laguna Niguel, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.