Jayashree S Coca, M.D.

Primary specialty

Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X

License

A54244 Issued in CA

Practice address

125 W Thousand Oaks Blvd
Thousand Oaks, CA 91360-4402

Phone

(805) 777-3505

NPI assigned

Aug 12, 2006

Last updated

Apr 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• County of Ventura

  dba VCBH - Conejo Valley Youth & Family Mental Health

  • Community/Behavioral Health Agency
  • Thousand Oaks, CA
  • NPI 1902027972
  NPD (past)

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1255343976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604402",
            "telephone_number": "805-777-3505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W THOUSAND OAKS BLVD",
            "city": "THOUSAND OAKS",
            "state": "CA",
            "postal_code": "913604402",
            "telephone_number": "805-777-3505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCA",
        "first_name": "JAYASHREE",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "CA",
            "license": "A54244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coastal Bloom Behavior LLC
• Coastal Physical Therapy and Sports Rehabilitation
• Coastal Radiation Oncology Medical Group, Inc. (North Oaks Radiation Oncology Medical Center, Inc.)
• Lynn Coates-Leisen, MSN, APRN, FNP-C
• William Madison Coburn Jr., M.D.
• Robert Coffey, M.D.
• Shariar Cohen-Gadol, M.D.
• Cody Renee Cohen, COTA/L
• Danielle Cohen
• Hannah Sophia Cohen

• Child & Adolescent Psychiatry Physician in Thousand Oaks, CA
• Providers in Thousand Oaks, CA by specialty
• Child & Adolescent Psychiatry Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.