Diane J Coker, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

PT08251 Issued in CA

Practice address

24331 El Toro Rd
Ste 200
Laguna Woods, CA 92637-2753

Phone

(949) 586-3200

Fax

(949) 900-2136

NPI assigned

Jun 14, 2005

Last updated

Sep 21, 2010By the provider in NPPES

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

Other names 1

• Diane Autrey Coker Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• South County Orthopedic Specialists

  • Specialist
  • Laguna Woods, CA
  • NPI 1053314625
  NPD (past)

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285027200000",
    "number": "1194720474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 31063",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926541063",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24331 EL TORO RD",
            "address_2": "STE 200",
            "city": "LAGUNA WOODS",
            "state": "CA",
            "postal_code": "926372753",
            "telephone_number": "949-586-3200",
            "fax_number": "949-900-2136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COKER",
        "first_name": "DIANE",
        "middle_name": "J",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-14",
        "last_updated": "2010-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CA",
            "license": "PT08251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIANE",
            "last_name": "COKER",
            "middle_name": "AUTREY",
            "credential": "P.T.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Julie Miae Choi, PHARMD
• Peter Pe Chu, PHARM.D
• Christine Huyen Chung, D.D.S.
• Emily Marie Clarke, MD
• Stacy Renee Cohen-Barrera, PAC
• Kyle Wayne Coker, M.D.
• Kent J Collins, AU.D.
• Cox Dental Corporation (Gentle Dental Laguna Woods)
• Lydia Creedon, MRI TECHNOLOGIST
• Csun Pharmaceutics Inc (Laguna Woods Pharmacy)

• Specialist in Laguna Woods, CA
• Providers in Laguna Woods, CA by specialty
• Specialist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2010; 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.