Michael Koesterer

Primary specialty

Case Manager/Care CoordinatorTaxonomy code 171M00000X

Practice address

1250 6TH Ave Ste 150
San Diego, CA 92101-4370

Phone

(619) 244-7597

NPI assigned

Aug 23, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Mental Health Systems, Inc.

  • Community/Behavioral Health Agency
  • Fresno, CA
  • NPI 1720745169
  NPD (past)
• Pathways Community Services LLC

  • Community/Behavioral Health Agency
  • Tustin, CA
  • NPI 1396436077
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1720412976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 6TH AVE STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 6TH AVE STE 150",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921014370",
            "telephone_number": "619-244-7597"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6244 El Cajon Blvd Ste 17",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921153918",
            "country_code": "US",
            "telephone_number": "619-287-8225",
            "fax_number": "619-287-4146",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7155 Mission Gorge Rd",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921201130",
            "country_code": "US",
            "telephone_number": "858-300-0460 x136",
            "fax_number": "858-300-0461",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOESTERER",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-08-23",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyla Marie Koerber, RN
• Nicolas Koegel Koerber, MD
• Sarah Koerner-Jordan, PSYD
• Dale Koers, OD, MS
• Mark Koester, RMSK
• Sodeth Koeut, BS
• Sophia Koeut
• Violeta Kofman, OTD, OTR/L
• Lina Kogan-Sbarbaro, PHD
• Jessica Ann Kogut, M.S., OTR/L

• Case Manager/Care Coordinator in San Diego, CA
• Providers in San Diego, CA by specialty
• Case Manager/Care Coordinator in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.