Individual provider Active NPI

Michael McCoy, M.D.

  • Surgery Physician
  • Glendora, CA
National Provider Identifier
1871857672
Registry record updated Sep 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A149323 Issued in CA
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170728002135 CA Practitioner - General Surgery 4183995889 Reassigns benefits to 4 organizations

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
Wound Docs ApcGroup PAC ID 2860928629, 23 clinicians

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

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)11
Removal of tissue90
Removal of skin lesions11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A149323CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Providence Medical Foundation Current Accepting new patients
Wound Docs Apc Surgery CurrentSince Nov 6, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Jul 10, 2017 Accepting new patients
Ali Abidali DO Professional Medical Corporation Surgery CurrentSince Nov 1, 2025 Accepting new patients
Providence Medical Foundation CurrentSince Jul 10, 2017 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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.