Active NPI
Laura Elizabeth Coulson, MD
- Family Medicine Physician
- San Diego, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A76301
- Practice address
- 5454 El Cajon Blvd
San Diego, CA 92115-3621 - Phone
- (619) 515-2400
- NPI assigned
- Jan 8, 2007
- Last updated
- Mar 17, 2018
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A76301 | CA | Primary |
Addresses
Primary practice location
5454 El Cajon Blvd
San Diego, CA 92115-3621
Mailing address
823 Gateway Center Way
Sutie C and D
San Diego, CA 92102-4541
Phone (619) 906-4623
Other practice location 1
12522 E Lambert Rd
Sutie C and D
Whittier, CA 90606
Phone (562) 789-5420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A763010 | Medicaid | CA |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of California, San Francisco School of Medicine, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1809 National Ave
San Diego, CA 92113-2113
Phone (619) 515-2300
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A76301 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Health Centers of San Diego Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Family Health Centers of San Diego, Inc | Current | Accepting new patients | |
| Scripps Health | Current | Accepting new patients | |
| Pih Health Physicians | Past | Accepting new patients |
Locations
1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500
5454 El Cajon Blvd
San Diego, CA 92115
Phone (619) 515-2381
823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323
823 Gateway Center Way
Ste C
San Diego, CA 92102
Interoperability endpoints
- laura.coulsonmd.p1@direct.plannedparenthoodla.nextgenshare.com
- lcoulson80919@scrippshlth.medalliesdirect.net
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Logan Heights Family Health Center
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1447281936
-
dba FamilyHealth on Commercial
- Federally Qualified Health Center (FQHC)
- San Diego, CA
- NPI 1235521782
-
dba Escondido Physical Health and Wellness
- Federally Qualified Health Center (FQHC)
- Escondido, CA
- NPI 1356178180
-
dba Scripps Hospital Medical Services
- General Acute Care Hospital
- San Diego, CA
- NPI 1487928891
-
- Anesthesiology Physician
- Downey, CA
- NPI 1447931506
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1447308424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GATEWAY CENTER WAY",
"address_2": "SUTIE C AND D",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921024541",
"telephone_number": "619-906-4623",
"fax_number": "619-906-4564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5454 EL CAJON BLVD",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921153621",
"telephone_number": "619-515-2400"
}
],
"practiceLocations": [
{
"address_1": "12522 E Lambert Rd",
"address_2": "Sutie C and D",
"address_purpose": "LOCATION",
"city": "Whittier",
"state": "CA",
"postal_code": "90606",
"country_code": "US",
"telephone_number": "562-789-5420",
"fax_number": "562-945-9756",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COULSON",
"first_name": "LAURA",
"middle_name": "ELIZABETH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A76301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A763010",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
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 Mar 17, 2018; 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.
- 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.