Active NPI
Coleman Alan Humbert, NP
- Family Nurse Practitioner
- Rancho Cordova, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 95009021
- Practice address
- 3201 Data Dr
Rancho Cordova, CA 95670-7374 - Phone
- (916) 851-1440
- NPI assigned
- Jun 6, 2018
- Last updated
- Aug 7, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 Nurse Practitioner | 363LF0000X | 95009021 | CA | Primary |
Addresses
Primary practice location
3201 Data Dr
Rancho Cordova, CA 95670-7374
Mailing address
3201 Data Dr
Rancho Cordova, CA 95670-7374
Phone (916) 851-1440
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3201 Data Dr
Rancho Cordova, CA 95670-7374
Phone (916) 851-1424
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Wellspace Health | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Regents of the University of California | Current | Accepting new patients | |
| Chest Infectious Diseases & Critical Care Consultants Group Inc | Past | Accepting new patients | |
| Essent PRMC LP | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients |
Locations
10850 White Rock Rd
Rancho Cordova, CA 95670
3201 Data Dr
Rncho Cordova, CA 95670
Phone (916) 851-1424
1820 J St
Sacramento, CA 95811
Phone (916) 550-5481
3441 Marysville Blvd
Sacramento, CA 95838
Phone (916) 563-7200
777 12th St
Ste 250
Sacramento, CA 95814
Phone (916) 469-4690
Organizations & group practices 8
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 UC Davis Medical Group
- Multi-Specialty Clinic/Center
- Sacramento, CA
- NPI 1952998973
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1124112933
-
- Multi-Specialty Clinic/Center
- Rancho Cordova, CA
- NPI 1871573428
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1114682689
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1225335581
-
- Specialist
- Sacramento, CA
- NPI 1093849523
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
dba Paris Regional Medical Center
- Certified Registered Nurse Anesthetist
- Paris, TX
- NPI 1376541839
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of California Davis Medical Center
- General Acute Care Hospital
- Sacramento, CA
- NPI 1710918545
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1487146213",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3201 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707374",
"telephone_number": "916-851-1440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3201 DATA DR",
"city": "RANCHO CORDOVA",
"state": "CA",
"postal_code": "956707374",
"telephone_number": "916-851-1440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUMBERT",
"first_name": "COLEMAN",
"middle_name": "ALAN",
"name_prefix": "Mr.",
"credential": "NP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2018-06-06",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "95009021",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Cordova, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.