Active NPI
Brittany Coonce, DO
- Pediatrics Physician
- Los Angeles, CA
National Provider Identifier
1508325325
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 19754
- Practice address
- 1919 W 7TH St
Los Angeles, CA 90057-4103 - Phone
- (866) 981-3002
- NPI assigned
- Mar 19, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 19754 | CA | Primary |
Addresses
Primary practice location
1919 W 7TH St
Los Angeles, CA 90057-4103
Mailing address
226 S Lucerne Blvd
Los Angeles, CA 90004-3727
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552953600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676505600000",
"number": "1508325325",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "226 S LUCERNE BLVD",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900043727"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1919 W 7TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900574103",
"telephone_number": "866-981-3002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COONCE",
"first_name": "BRITTANY",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-03-19",
"last_updated": "2023-02-16",
"certification_date": "2023-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "CA",
"license": "19754",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.