Individual provider Active NPI

John Raymond Coleman, AU.D.

  • Audiologist
  • Mission Viejo, CA
National Provider Identifier
1437150190
Registry record updated Feb 4, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
AudiologistTaxonomy code 231H00000X
License
AU683 Issued in CA
Practice address
26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-6364
Phone
(949) 364-4361
Fax
(949) 364-7124
NPI assigned
Aug 3, 2005
Last updated
Feb 4, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Audiologist 231H00000X AU683 CA Primary
Hearing Instrument Specialist 237700000X HA1691 CA

Addresses

Primary practice location

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-6364

Mailing address

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-6364
Phone (949) 364-4361

Other identifiers 7

IdentifierTypeStateIssuer
AU683OtherCASTATE AUDIOLOGY LICENSE
AU0006830OtherCAMEDI-CAL #
HA 1691OtherCAHEARING AID DISPENSING
AM896YOtherCAPTAN
AM896ZOtherCAINDIVIDUAL PTAN
W8109OtherCAGROUP PTAN
W15940OtherCAGROUP PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050804000704 CA Practitioner - Qualified Audiologist 8921034539 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Qualified Audiologist
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orange County Physicians Hearing Services IncGroup PAC ID 5395771901, 9 clinicians

Practice addresses (Care Compare)

1640 Newport Blvd
Suite 350
Costa Mesa, CA 92627-3786
Phone (949) 276-4008

18 Endeavor
Suite 208
Irvine, CA 92618-3181
Phone (949) 276-4008

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8002

26726 Crown Valley Pkwy
Suite 210
Mission Viejo, CA 92691-8006
Phone (949) 276-4008

Merit-based Incentive Payment System (MIPS)

Final score
7.5 of 100Reported as individual
Quality
15
Improvement activities
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
HA1691CAMDHearing Instrument Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Head and Neck Associates of Orange County an Incorprate CurrentSince Aug 1, 2005 Accepting new patients
Orange County Physicians Hearing Services Inc Audiologist CurrentSince Jan 1, 2002 Accepting new patients

Locations

18 Endeavor
Ste 208
Irvine, CA 92618
Phone (949) 276-4008

24411 Health Center Dr
Ste 370
Laguna Hills, CA 92653
Phone (949) 276-4008

26726 Crown Valley Pkwy
Mission Viejo, CA 92691
Phone (949) 276-4008

26726 Crown Valley Pkwy
Ste 200
Mission Viejo, CA 92691
Phone (949) 264-4361

26726 Crown Valley Pkwy
Ste 210
Mission Viejo, CA 92691
Phone (949) 276-4008

675 Camino de los Mares
Ste 420
San Clemente, CA 92673
Phone (949) 276-4008

Interoperability endpoints

  • Direct secure messaging: john.coleman.p19@direct.monarchhealthcare.nextgenshare.com
  • Direct secure messaging: john.coleman.p21@direct.monarchhealthcare.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1233705600000",
    "number": "1437150190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "SUITE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-7124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26726 CROWN VALLEY PKWY",
            "address_2": "SUITE 210",
            "city": "MISSION VIEJO",
            "state": "CA",
            "postal_code": "926916364",
            "telephone_number": "949-364-4361",
            "fax_number": "949-364-7124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEMAN",
        "first_name": "JOHN",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "AU.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2009-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "CA",
            "license": "AU683",
            "primary": true
        },
        {
            "code": "237700000X",
            "taxonomy_group": "",
            "desc": "Hearing Instrument Specialist",
            "state": "CA",
            "license": "HA1691",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE AUDIOLOGY LICENSE",
            "identifier": "AU683",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL #",
            "identifier": "AU0006830",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEARING AID DISPENSING",
            "identifier": "HA 1691",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "AM896Y",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL PTAN",
            "identifier": "AM896Z",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "W8109",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PTAN",
            "identifier": "W15940",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mission Viejo, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.