Suzanne Kaye Coberly

Primary specialty

Anatomic Pathology PhysicianTaxonomy code 207ZP0101X

License

G76638 Issued in CA

Practice address

1120 Veterans Blvd
1120 Veterans Blvd
South San Francisco, CA 94080-1985

Phone

(650) 244-2697

NPI assigned

Nov 13, 2014

Sex

Female

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1415836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415836800000",
    "number": "1740686062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3148 SUNSET TER",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944033847",
            "telephone_number": "650-244-2697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1120 VETERANS BLVD",
            "address_2": "1120 VETERANS BLVD",
            "city": "SOUTH SAN FRANCISCO",
            "state": "CA",
            "postal_code": "940801985",
            "telephone_number": "650-244-2697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBERLY",
        "first_name": "SUZANNE",
        "middle_name": "KAYE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-11-13",
        "last_updated": "2014-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0007X",
            "taxonomy_group": "",
            "desc": "Pathology, Molecular Genetic Pathology",
            "state": "CA",
            "license": "G76638",
            "primary": false
        },
        {
            "code": "207ZP0101X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology",
            "state": "CA",
            "license": "G76638",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dana Stiles Clutter, M.D.
• CHI K Co, M.D.
• Christabelle Co, MD
• Coastside Clinical Laboratory
• Coastside Physical Therapy
• Michael Andrew Cohen, FNP-C
• Sara G Cohen
• Maria-Renee J Coldagelli, MS LCGC
• Color Diagnostics, LLC
• Color Health, Inc.

• Anatomic Pathology Physician in South San Francisco, CA
• Providers in South San Francisco, CA by specialty
• Anatomic Pathology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2014; 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.