Active NPI
Michael McCoy, M.D.
- Surgery Physician
- Glendora, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- A149323
- Practice address
- 353 W Foothill Blvd
Glendora, CA 91741-5309 - Phone
- (909) 757-8425
- Fax
- (909) 757-8392
- NPI assigned
- Jun 27, 2012
- Last updated
- Sep 25, 2025
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | A149323 | CA | Primary |
Addresses
Primary practice location
353 W Foothill Blvd
Glendora, CA 91741-5309
Mailing address
353 W Foothill Blvd
Glendora, CA 91741-5309
Phone (909) 757-8425
Other practice location 1
1910 Royalty Dr
Pomona, CA 91767-3021
Phone (909) 757-8425
Other practice location 2
500 N Euclid Ave
Upland, CA 91786-4734
Phone (909) 757-8425
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | michaelmccoy@sjhhandhmg.allscriptsdirect.net |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Other, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1703 Termino Ave
Suite 106
Long Beach, CA 90804-2126
Phone (562) 800-3321
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 11 |
| Removal of tissue | 90 |
| Removal of skin lesions | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A149323 | CA | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Providence Medical Foundation | Current | Accepting new patients | |
| Wound Docs Apc | Surgery | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| Ali Abidali DO Professional Medical Corporation | Surgery | Current | Accepting new patients |
| Providence Medical Foundation | Current | Accepting new patients | |
| St Jude Hospital Inc | Past | Accepting new patients |
Locations
27141 Aliso Creek Rd
Ste 235
Aliso Viejo, CA 92656
Phone (562) 800-3321
200 W Ctr St Promenade
Ste 400
Anaheim, CA 92805
1514 Valley Vista Dr
Diamond Bar, CA 91765
Phone (909) 560-1144
100 E Valencia Mesa Dr
Ste 105
Fullerton, CA 92835
Phone (714) 446-5200
1950 Sunny Crest Dr
Ste 2600
Fullerton, CA 92835
Phone (714) 446-5260
1950 Sunny Crest Dr
Ste 2900
Fullerton, CA 92835
2720 N Harbor Blvd
Ste 350
Fullerton, CA 92835
Phone (714) 529-8923
353 W Foothill Blvd
Glendora, CA 91741
Phone (626) 857-7344
1703 Termino Ave
Ste 106
Long Beach, CA 90804
Phone (310) 552-0146
1910 Royalty Dr
Pomona, CA 91767
Phone (909) 630-7205
154A W Foothill Blvd
Upland, CA 91786
Phone (909) 373-4632
500 N Euclid Ave
Upland, CA 91786
Phone (909) 757-8425
Organizations & group practices 7
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.
-
dba California Surgical Specialists
- Surgery Physician
- Upland, CA
- NPI 1689451114
-
- Family Medicine Physician
- Brea, CA
- NPI 1871607762
-
- Family Medicine Physician
- Brea, CA
- NPI 1316342884
-
- General Practice Physician
- Diamond Bar, CA
- NPI 1285890624
-
- Family Medicine Physician
- Anaheim, CA
- NPI 1639715709
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Fullerton, CA
- NPI 1194926279
-
dba Providence St. Jude Medical Center
- General Acute Care Hospital
- Brea, CA
- NPI 1891904942
-
dba Kindred Hospital - Brea
- Long Term Care Hospital
- Brea, CA
- NPI 1780768416
Long-term care hospital
-
dba Kindred Hospital - Santa Ana
- Long Term Care Hospital
- Santa Ana, CA
- NPI 1851476139
Long-term care hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340755200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758758400000",
"number": "1871857672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "353 W FOOTHILL BLVD",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917415309",
"telephone_number": "909-757-8425",
"fax_number": "909-757-8392"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "353 W FOOTHILL BLVD",
"city": "GLENDORA",
"state": "CA",
"postal_code": "917415309",
"telephone_number": "909-757-8425",
"fax_number": "909-757-8392"
}
],
"practiceLocations": [
{
"address_1": "1910 Royalty Dr",
"address_purpose": "LOCATION",
"city": "Pomona",
"state": "CA",
"postal_code": "917673021",
"country_code": "US",
"telephone_number": "909-757-8425",
"fax_number": "909-757-8392",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "500 N Euclid Ave",
"address_purpose": "LOCATION",
"city": "Upland",
"state": "CA",
"postal_code": "917864734",
"country_code": "US",
"telephone_number": "909-757-8425",
"fax_number": "909-757-8392",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCCOY",
"first_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-06-27",
"last_updated": "2025-09-25",
"certification_date": "2025-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "CA",
"license": "A149323",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "michaelmccoy@sjhhandhmg.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1950 Sunny Crest Dr Ste 2600",
"city": "Fullerton",
"state": "CA",
"country_code": "US",
"postal_code": "928353644",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Glendora, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.