NPIMap

Individual provider Active NPI

Peter Robert Coelho, M.D.

  • Family Medicine Physician
  • Hollister, CA
National Provider Identifier
1285740480
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A71852 Issued in CA
Practice address
930 Sunset Dr
Building 1, Suite a
Hollister, CA 95023-5780
Phone
(831) 637-5873
Fax
(831) 637-1290
NPI assigned
Aug 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X A71852 CA Primary

Addresses

Primary practice location

930 Sunset Dr
Building 1, Suite a
Hollister, CA 95023-5780

Mailing address

PO Box 2562
Hollister, CA 95024-2562
Phone (831) 637-5873

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100630000746 CA Practitioner - Family PracticePractitioner - Internal Medicine 0941331243 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of California, Davis School of Medicine, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1751 Severinsen St
Hollister, CA 95023-5585

PO Box
Suite 2562
Hollister, CA 95024-2562

Hospital & facility affiliations

  • Ascension Healthcare Services Home health agency, Campbell, CA, CCN 059765
  • Care Must Home health agency, San Jose, CA, CCN 059796
  • Hazel Hawkins Memorial Hospital Hospital, Hollister, CA, CCN 051337
  • Santa Clara Valley Medical Center Hospital, San Jose, CA, CCN 050038
  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380
  • Stanford Health Care Hospital, Stanford, CA, CCN 050441
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of skin lesions92
Removal of nail tissue1-10
Removal or shaving of skin growth12
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Hazel Hawkins Memorial Hospital CurrentSince Apr 7, 2013 Accepting new patients
Peter R Coelho M D Inc Family Medicine CurrentSince Feb 25, 2002 Accepting new patients
Hazel Hawkins Memorial Hospital CurrentSince Apr 7, 2013 Accepting new patients
El Camino Health Medical Network, LLC Past Accepting new patients
El Camino Hospital Past Accepting new patients
County of Santa Clara Past Accepting new patients

Locations

9460 No Name Uno
Ste 115
Gilroy, CA 95020
Phone (408) 707-0234

9460 No Name Uno
Ste 250
Gilroy, CA 95020
Phone (408) 279-1400

930 Sunset Dr
Ste A
Hollister, CA 95023
Phone (831) 637-5873

930 Sunset Dr
#1A
Hollister, CA 95023
Phone (831) 637-5873

930 Sunset Dr
Ste A
Hollister, CA 95023
Phone (831) 637-5873

911 Sunset Dr
Hollister, CA 95023
Phone (831) 626-2640

Organizations & group practices 6

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285740480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2562",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950242562",
            "telephone_number": "831-637-5873",
            "fax_number": "831-637-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 SUNSET DR",
            "address_2": "BUILDING 1, SUITE A",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950235780",
            "telephone_number": "831-637-5873",
            "fax_number": "831-637-1290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COELHO",
        "first_name": "PETER",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A71852",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollister, CA

Sources for this page

Verify at the official NPI Registry.