Organization Active NPI

Timothy J. Coen, M.D., P.C.

Doing business as Mission Family Care

  • Family Medicine Physician
  • Fallbrook, CA
National Provider Identifier
1528017480
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
TIMOTHY J. COEN, M.D., P.C.
Doing business as
Mission Family Care
Practice address
1434 S Mission Rd
Suite a
Fallbrook, CA 92028-4009
Phone
(760) 451-3500
Fax
(760) 451-3504
NPI assigned
May 9, 2006
Last updated
Oct 17, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Authorized official

Name
Timothy J. Coen, M.D.NPI 1174573562
Title
Physician / Owner
Phone
(760) 451-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

1434 S Mission Rd
Suite a
Fallbrook, CA 92028-4009

Mailing address

1434 S Mission Rd
Suite a
Fallbrook, CA 92028-4009
Phone (760) 451-3500

Other names 1

  • Mission Family Care Doing business as

National Provider Directory

National Provider Directory

Locations

706 S Main Ave
Fallbrook, CA 92028
Phone (760) 451-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1528017480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1434 S MISSION RD",
            "address_2": "SUITE A",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284009",
            "telephone_number": "760-451-3500",
            "fax_number": "760-451-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1434 S MISSION RD",
            "address_2": "SUITE A",
            "city": "FALLBROOK",
            "state": "CA",
            "postal_code": "920284009",
            "telephone_number": "760-451-3500",
            "fax_number": "760-451-3504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J. COEN, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "COEN",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PHYSICIAN / OWNER",
        "authorized_official_telephone_number": "760-451-3500",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mission Family Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fallbrook, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.