Active NPI
Jordan David Coslet, MS, PA-C
- Physician Assistant
- Hemet, CA
National Provider Identifier
1295111243
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 52696
- Practice address
- 1525 W Florida Ave
Ste D
Hemet, CA 92543-3825 - Phone
- (951) 929-6777
- Fax
- (951) 658-8390
- NPI assigned
- Jul 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 52696 | CA | Primary |
Addresses
Primary practice location
1525 W Florida Ave
Ste D
Hemet, CA 92543-3825
Mailing address
701 W Beech St
#2503
San Diego, CA 92101-2640
Phone (414) 241-2344
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science, Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52696 | CA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1438300800000",
"number": "1295111243",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 W BEECH ST",
"address_2": "#2503",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921012640",
"telephone_number": "414-241-2344"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1525 W FLORIDA AVE",
"address_2": "STE D",
"city": "HEMET",
"state": "CA",
"postal_code": "925433825",
"telephone_number": "951-929-6777",
"fax_number": "951-658-8390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSLET",
"first_name": "JORDAN",
"middle_name": "DAVID",
"credential": "MS, PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-31",
"last_updated": "2015-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "52696",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hemet, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2015; 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.