Dwain L Coggins, M.D.

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

License

G58266 Issued in CA

Practice address

2400 Samaritan Dr
Suite 100
San Jose, CA 95124-3910

Phone

(408) 879-5900

Fax

(408) 490-1636

NPI assigned

Apr 21, 2006

Last updated

Dec 4, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Advanced Cardiovascular Specialists Inc

  • Specialist
  • Mountain View, CA
  • NPI 1164472270
  Medicare reassignment NPD
• Physician Services at El Camino Hospital

  • General Acute Care Hospital
  • Mountain View, CA
  • NPI 1669575585
  Medicare reassignment
• Coggins and Levy Medical Associates

  • Clinical Cardiac Electrophysiology Physician
  • Los Gatos, CA
  • NPI 1841435526
  Authorized official Same address or phone
• Apex Cardiology of Silicon Valley a Medical Partnership

  • Interventional Cardiology Physician
  • San Jose, CA
  • NPI 1841348190
  NPD (past)
• El Camino Health Medical Group

  • Geriatric Medicine (Family Medicine) Physician
  • Los Gatos, CA
  • NPI 1578831764
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607040000000",
    "number": "1598721318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2490 HOSPITAL DR",
            "address_2": "STE 311",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404126",
            "telephone_number": "408-879-5900",
            "fax_number": "408-490-1636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 SAMARITAN DR",
            "address_2": "SUITE 100",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951243910",
            "telephone_number": "408-879-5900",
            "fax_number": "408-490-1636"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 Lincoln Ave",
            "address_purpose": "LOCATION",
            "city": "San Jose",
            "state": "CA",
            "postal_code": "951263785",
            "country_code": "US",
            "telephone_number": "408-871-3400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COGGINS",
        "first_name": "DWAIN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2020-12-04",
        "certification_date": "2020-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "CA",
            "license": "G58266",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CA MED LICENSE",
            "identifier": "G58266",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "26-3374042",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Leighann Coe
• Marlena Lucia Coelho-Sousae, LPCC
• Ashleigh Coffeng, R.D.
• Mya Coffey
• Dennis P. Coffman
• Cogleap Centers for Cognitive and Emotional Health, Inc.
• Aimee Cogliandro
• Cohen Sedgh, Manavi & Pakravan Dental Corporation (West Coast Dental)
• Daniela Cohen, M.D.
• Ellen A Cohen, M.A. MFT

• Clinical Cardiac Electrophysiology Physician in San Jose, CA
• Providers in San Jose, CA by specialty
• Clinical Cardiac Electrophysiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.