Organization Active NPI

John L Coon MD Inc

  • Specialist
  • Riverside, CA
National Provider Identifier
1164608295
Registry record updated Feb 22, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G31115 Issued in CA
Legal business name
JOHN L COON MD INC
Practice address
3975 Jackson St
Suite 201
Riverside, CA 92503-3901
Phone
(951) 687-9400
Fax
(951) 687-9401
NPI assigned
Jan 18, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2012

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

Authorized official

Name
Dr. John L Coon, M.D.NPI 1225086861
Title
President
Phone
(951) 751-9400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G31115 CA Primary

Addresses

Primary practice location

3975 Jackson St
Suite 201
Riverside, CA 92503-3901

Mailing address

PO Box 7578
Riverside, CA 92513-7578
Phone (951) 751-9400

National Provider Directory

National Provider Directory

Locations

3975 Jackson St
Ste 201
Riverside, CA 92503
Phone (951) 687-9400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1200614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329868800000",
    "number": "1164608295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7578",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925137578",
            "telephone_number": "951-751-9400",
            "fax_number": "951-352-5329"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST",
            "address_2": "SUITE 201",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033901",
            "telephone_number": "951-687-9400",
            "fax_number": "951-687-9401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN L COON MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-18",
        "last_updated": "2012-02-22",
        "status": "A",
        "authorized_official_last_name": "COON",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "951-751-9400",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G31115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2012; 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.