Active NPI
Austin R.T. Colohan, M.D.
- Neurological Surgery Physician
- Loma Linda, CA
National Provider Identifier
1366486227
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- G85008
- Practice address
- 25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3128 - Phone
- (909) 558-6388
- NPI assigned
- Jun 15, 2006
- 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 |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | G85008 | CA | Primary |
Addresses
Primary practice location
25455 Barton Rd
Suite 108a
Loma Linda, CA 92354-3128
Mailing address
File Number 54701
Los Angeles, CA 90074-0001
Phone (909) 558-3111
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G850080 | Medicaid | CA |
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 |
|---|---|---|---|
| 85008 | CA | MD | Pharmacist |
| G85008 | CA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Faculty Physicians and Surgeons of Llusm | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Loma Linda, CA
- NPI 1326097056
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1215993600000",
"number": "1366486227",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "FILE NUMBER 54701",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900740001",
"telephone_number": "909-558-3111"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25455 BARTON RD",
"address_2": "SUITE 108A",
"city": "LOMA LINDA",
"state": "CA",
"postal_code": "923543128",
"telephone_number": "909-558-6388"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOHAN",
"first_name": "AUSTIN",
"middle_name": "R.T.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-15",
"last_updated": "2008-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "CA",
"license": "G85008",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G850080",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Loma Linda, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.