Active NPI
Kathy Lee Coffman, MD, FAPM
- Addiction Psychiatry Physician
- West Hollywood, CA
National Provider Identifier
1649364340
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction Psychiatry Physician
- License
- G65927
- Practice address
- 9201 W Sunset Blvd Ste 801
West Hollywood, CA 90069-3709 - Phone
- (310) 278-4175
- Fax
- (310) 278-4789
- NPI assigned
- Oct 3, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | G65927 | CA | |
| Addiction Psychiatry Physician | 2084P0802X | G65927 | CA | Primary |
| Geriatric Psychiatry Physician | 2084P0805X | G65927 | CA |
Addresses
Primary practice location
9201 W Sunset Blvd Ste 801
West Hollywood, CA 90069-3709
Mailing address
9201 W Sunset Blvd Ste 801
West Hollywood, CA 90069-3709
Phone (310) 278-4175
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.78 of 100
- Quality
- 89.46
- Promoting interoperability
- 99.02
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G65927 | CA | MD | Geriatric Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Euclid Hospital Cleveland Clinic Health System | Current | Accepting new patients |
Interoperability endpoints
- kcoffman2865@direct.ccf.org
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba cleveland clinic foundation
- General Acute Care Hospital
- Euclid, OH
- NPI 1457403016
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1318550400000",
"number": "1649364340",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 801",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693709",
"telephone_number": "310-278-4175",
"fax_number": "310-278-4789"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9201 W SUNSET BLVD STE 801",
"city": "WEST HOLLYWOOD",
"state": "CA",
"postal_code": "900693709",
"telephone_number": "310-278-4175",
"fax_number": "310-278-4789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COFFMAN",
"first_name": "KATHY",
"middle_name": "LEE",
"credential": "MD, FAPM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-03",
"last_updated": "2011-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "G65927",
"primary": false
},
{
"code": "2084P0802X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Addiction Psychiatry",
"state": "CA",
"license": "G65927",
"primary": true
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "CA",
"license": "G65927",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in West Hollywood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.