Active NPI
Sandra Isabel Coufal, M.D.
- Internal Medicine Physician
- San Diego, CA
National Provider Identifier
1629285408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A52101
- Practice address
- 10675 John J Hopkins Dr
E113
San Diego, CA 92121-1127 - Phone
- (858) 812-1798
- Fax
- (858) 759-0813
- NPI assigned
- May 17, 2007
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | A52101 | CA | Primary |
Addresses
Primary practice location
10675 John J Hopkins Dr
E113
San Diego, CA 92121-1127
Mailing address
18313 Calle la Serra
Rancho Santa Fe, CA 92091-0119
Phone (858) 759-5175
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A52101 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Midwest Hospital Specialists, P.a. | Internal Medicine | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Overland Park, KS
- NPI 1013901404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629285408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18313 CALLE LA SERRA",
"city": "RANCHO SANTA FE",
"state": "CA",
"postal_code": "920910119",
"telephone_number": "858-759-5175",
"fax_number": "858-759-0813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10675 JOHN J HOPKINS DR",
"address_2": "E113",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921211127",
"telephone_number": "858-812-1798",
"fax_number": "858-759-0813"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COUFAL",
"first_name": "SANDRA",
"middle_name": "ISABEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A52101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.