Individual provider Active NPI

John Paul Felipe Coballes, FNP-BC

  • Family Nurse Practitioner
  • San Jose, CA
National Provider Identifier
1891532214
Registry record updated Apr 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95031087 Issued in CA
Practice address
1259 Sunny CT Apt 20
San Jose, CA 95116-2843
Phone
(847) 208-0324
NPI assigned
Jul 12, 2024
Last updated
Apr 16, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 209029790 IL
Family Nurse Practitioner 363LF0000X 95031087 CA Primary

Addresses

Primary practice location

1259 Sunny CT Apt 20
San Jose, CA 95116-2843

Mailing address

1259 Sunny CT Apt 20
San Jose, CA 95116-2843
Phone (847) 208-0324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20240801003459 CA Practitioner - Nurse Practitioner 3779020284 Reassigns benefits to 2 organizations
I20250425001780 IL Practitioner - Nurse Practitioner 3779020284 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95031087CAMDFamily Nurse Practitioner
209029790ILMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Molina Healthcare of California CurrentSince Oct 4, 2024 Accepting new patients
Universal Care CurrentSince Aug 5, 2024 Accepting new patients
Central Health Plan of California, Inc. CurrentSince Aug 5, 2024 Accepting new patients

Locations

200 Oceangate
Ste 100
Long Beach, CA 90802
Phone (562) 435-3666

Interoperability endpoints

  • Direct secure messaging: jcoballes17033@direct-prd.molinahealthcare.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744761600000",
    "number": "1891532214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1259 SUNNY CT APT 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162843",
            "telephone_number": "847-208-0324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1259 SUNNY CT APT 20",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951162843",
            "telephone_number": "847-208-0324"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COBALLES",
        "first_name": "JOHN PAUL FELIPE",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2025-04-16",
        "certification_date": "2025-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209029790",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95031087",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.