Active NPI
Norman Coakley, D.O.
- Family Medicine Physician
- Laguna Niguel, CA
National Provider Identifier
1801912274
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20A6444
- Practice address
- 25500 Rancho Niguel Rd
Ste. 100
Laguna Niguel, CA 92677-7302 - Phone
- (949) 643-0500
- NPI assigned
- Mar 21, 2007
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A6444 | CA | Primary |
Addresses
Primary practice location
25500 Rancho Niguel Rd
Ste. 100
Laguna Niguel, CA 92677-7302
Mailing address
25500 Rancho Niguel Rd
Ste. 100
Laguna Niguel, CA 92677-7302
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)
- Not enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A6444 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| South Coast Family Medical Center Inc | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Clinic/Center
- Laguna Niguel, CA
- NPI 1902003791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174435200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1193788800000",
"number": "1801912274",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "25500 RANCHO NIGUEL RD",
"address_2": "STE. 100",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 RANCHO NIGUEL RD",
"address_2": "STE. 100",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926777302",
"telephone_number": "949-643-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COAKLEY",
"first_name": "NORMAN",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-21",
"last_updated": "2007-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A6444",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.