Active NPI
Larry L Coble, MD
- Pediatrics Physician
- Sacramento, CA
National Provider Identifier
1760463327
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G28276
- Practice address
- 5012 Greenberry Dr
Sacramento, CA 95841-4001 - Phone
- (916) 568-9049
- NPI assigned
- Nov 10, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | G28276 | CA | Primary |
Addresses
Primary practice location
5012 Greenberry Dr
Sacramento, CA 95841-4001
Mailing address
5012 Greenberry Drive
Sacramento, CA 95841
Phone (916) 568-9049
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G28276 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1330473600000",
"number": "1760463327",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5012 GREENBERRY DRIVE",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "95841",
"telephone_number": "916-568-9049"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5012 GREENBERRY DR",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958414001",
"telephone_number": "916-568-9049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COBLE",
"first_name": "LARRY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2012-02-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G28276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.