Individual provider Active NPI

Veronica Joy Coen, PA-C

  • Surgical Physician Assistant
  • Redlands, CA
National Provider Identifier
1588474076
Registry record updated Jan 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA65477 Issued in CA
Practice address
375B Terracina Blvd
Redlands, CA 92373-3801
Phone
(909) 279-0070
NPI assigned
Jan 8, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.011024 IL
Surgical Physician Assistant 363AS0400X PA65477 CA Primary

Addresses

Primary practice location

375B Terracina Blvd
Redlands, CA 92373-3801

Mailing address

375B Terracina Blvd
Redlands, CA 92373-3801
Phone (909) 279-0070

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250206003189 CA Practitioner - Physician Assistant 3476083361 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 Terracina Blvd
Redlands, CA 92373-4850
Phone (909) 335-5500

375 Terracina Blvd
Suite B
Redlands, CA 92373-3801
Phone (909) 279-0070

4001 J St
Sacramento, CA 95819-3626
Phone (916) 453-4545

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
085.011024ILMDPhysician Assistant
PA65477CAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Acute Care Surgery Medical Group, Inc. CurrentSince Jan 15, 2025 Accepting new patients

Locations

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

4001 J St
Sacramento, CA 95819
Phone (916) 453-4037

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736294400000",
    "number": "1588474076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "375B TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733801",
            "telephone_number": "909-279-0070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "375B TERRACINA BLVD",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923733801",
            "telephone_number": "909-279-0070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COEN",
        "first_name": "VERONICA",
        "middle_name": "JOY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-01-08",
        "certification_date": "2025-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.011024",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA65477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.