Individual provider Active NPI

Michelle Ann Cote, PAC

  • Medical Physician Assistant
  • San Diego, CA
National Provider Identifier
1659554715
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
51219 Issued in CA
Practice address
6367 Alvarado CT Ste 107
San Diego, CA 92120-4914
Phone
(619) 287-1882
Fax
(619) 287-4121
NPI assigned
Dec 12, 2007
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X C05724 MD
Medical Physician Assistant 363AM0700X 3757 AZ
Medical Physician Assistant 363AM0700X 51219 CA Primary

Addresses

Primary practice location

6367 Alvarado CT Ste 107
San Diego, CA 92120-4914

Mailing address

6367 Alvarado CT Ste 107
San Diego, CA 92120-4914
Phone (619) 287-1882

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
I20131122000480 CA Practitioner - Physician Assistant 2163503772 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
51219CAMDMarriage & Family Therapist
C05724MDMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Arizona Skin and Laser Therapy Institute, LTD Past Accepting new patients
Englert Dermatology, LLC Past Accepting new patients
Daniel J Marnell MD Apc PastSince Feb 23, 2020 Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1197417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1659554715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204914",
            "telephone_number": "619-287-1882",
            "fax_number": "619-287-4121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6367 ALVARADO CT STE 107",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921204914",
            "telephone_number": "619-287-1882",
            "fax_number": "619-287-4121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTE",
        "first_name": "MICHELLE",
        "middle_name": "ANN",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-12",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MD",
            "license": "C05724",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "AZ",
            "license": "3757",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "51219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

Verify at the official NPI Registry.