Individual provider Active NPI

Michael T Coccia, MD

  • Surgery Physician
  • Laguna Beach, CA
National Provider Identifier
1396966495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
G059754 Issued in CA
Practice address
31862 Coast Hwy #201
Laguna Beach, CA 92651-6769
Phone
(949) 499-4565
NPI assigned
May 2, 2007
Sex
Male
Sole proprietor
No

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
Surgery Physician 208600000X G059754 CA Primary

Addresses

Primary practice location

31862 Coast Hwy #201
Laguna Beach, CA 92651-6769

Mailing address

31862 Coast Hwy
Laguna Beach, CA 92651-6769
Phone (949) 499-4565

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110317000696 CA Practitioner - General SurgeryPractitioner - Vascular Surgery 5496938110 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
Ohio State University College of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Group of South Laguna a Medical CorporationGroup PAC ID 3678519147, 2 clinicians

Practice addresses (Care Compare)

31862 Pacific Coast Hwy
Suite 201
Laguna Beach, CA 92651-6771
Phone (949) 499-4565

Hospital & facility affiliations

  • Providence Mission Hospital Hospital, Mission Viejo, CA, CCN 050567
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603

Merit-based Incentive Payment System (MIPS)

Final score
81.16 of 100Reported as group
Quality
75.12
Promoting interoperability
83
Improvement activities
40
Cost
76.23

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)15
Hernia repair (minimally invasive)23
Mastectomy1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G059754CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Surgical Group of South Laguna a Medical Corporation Surgery CurrentSince Jul 1, 2003 Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Los Alamitos Medical Center, Inc. Past Accepting new patients
Mission Hospital Regional Medical Center Past Accepting new patients
Hoag Memorial Hospital Presbyterian Past Accepting new patients

Locations

31862 Coast Hwy
Ste 201
Laguna Beach, CA 92651
Phone (949) 499-4526

31862 Coast Hwy
Laguna Beach, CA 92651
Phone (949) 499-4565

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHIHAA

Organizations & group practices 5

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 3

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

NPI Registry JSON

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

{
    "created_epoch": "1178064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1396966495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-499-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31862 COAST HWY #201",
            "city": "LAGUNA BEACH",
            "state": "CA",
            "postal_code": "926516769",
            "telephone_number": "949-499-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COCCIA",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "G059754",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Beach, CA

Sources for this page

Verify at the official NPI Registry.