Crystal Marie Coatney, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA21219 Issued in CA

Practice address

433 N Camden Dr
Suite 805
Beverly Hills, CA 90210-4409

Phone

(310) 550-7661

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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

• Beverly Hills Dermatology Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Beverly Hills, CA
  • NPI 1669886388
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288742400000",
    "number": "1568763852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-550-7661"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "433 N CAMDEN DR",
            "address_2": "SUITE 805",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902104409",
            "telephone_number": "310-550-7661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATNEY",
        "first_name": "CRYSTAL",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21219",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA21219",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Larry Andrew Clark
• Kimberly Estelle Clayborn, LICENSED MARRIAGE &
• Damaris D. Clement, MFT, PSY D
• Clifford J Merlo MD a Medical Corp
• CMR Rehab Center of Beverly Hills, LLC
• Clare Louise Coda
• Nicole Lynn Coffelt, PHD
• Gary Ross Cohan, M.D.
• Pejman Cohan, M.D.
• Kamyar Cohanshohet, MD

• Medical Physician Assistant in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Medical Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.