Active NPI
Elizabeth Anne Coulter, M.D
- Obstetrics & Gynecology Physician
- San Diego, CA
National Provider Identifier
1326495276
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- A154866
- Practice address
- 200 West Arbor Drive, Mc8433
Ucsd Residency Office
San Diego, CA 92103 - Phone
- (619) 543-6922
- NPI assigned
- May 20, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | A154866 | CA | Primary |
| Student in an Organized Health Care Education/Training Program | 390200000X | 253360722 | NY |
Addresses
Primary practice location
200 West Arbor Drive, Mc8433
Ucsd Residency Office
San Diego, CA 92103
Mailing address
1449 Robinson Ave
San Diego, CA 92103-4562
Phone (585) 530-0152
Other names 1
- Elizabeth Young
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A154866 | CA | MD | Obstetrics & Gynecology Physician |
| 253360722 | NY | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1463702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1326495276",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1449 ROBINSON AVE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921034562",
"telephone_number": "585-530-0152"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 WEST ARBOR DRIVE, MC8433",
"address_2": "UCSD RESIDENCY OFFICE",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "92103",
"telephone_number": "619-543-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COULTER",
"first_name": "ELIZABETH",
"middle_name": "ANNE",
"credential": "M.D",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-20",
"last_updated": "2020-09-18",
"certification_date": "2020-09-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "CA",
"license": "A154866",
"primary": true
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NY",
"license": "253360722",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELIZABETH",
"last_name": "YOUNG",
"credential": "M.D",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.