NPIMap

Individual provider Active NPI

John M Koostra, M.D.

  • Pulmonary Disease Physician
  • Monterey, CA
National Provider Identifier
1922058437
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
G75276 Issued in CA
Practice address
30 Garden CT
Monterey, CA 93940-5302
Phone
(831) 646-8570
Fax
(831) 646-5435
NPI assigned
May 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sleep Medicine (Internal Medicine) Physician 207RS0012X G75276 CA
Pulmonary Disease Physician 207RP1001X G75276 CA Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X G75276 CA

Addresses

Primary practice location

30 Garden CT
Monterey, CA 93940-5302

Mailing address

30 Garden CT
Monterey, CA 93940-5302
Phone (831) 646-8570

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080613000573 CA Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 5193801900 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists)
Education
University of California, Davis School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
County of MontereyGroup PAC ID 2466345632, 186 clinicians

Practice addresses (Care Compare)

1441 Constitution Blvd
Salinas, CA 93912
Phone (831) 755-4235

Hospital & facility affiliations

  • Natividad Medical Center Hospital, Salinas, CA, CCN 050248
  • Community Hospital of the Monterey Peninsula Hospital, Monterey, CA, CCN 050145
  • Salinas Valley Health Medical Center Hospital, Salinas, CA, CCN 050334
  • Southern Monterey County Memorial Hospital Hospital, King City, CA, CCN 051336

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G75276CAMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Monterey Behavioral Health CurrentSince Sep 2, 2010 Accepting new patients
Cardio-Pulmonary Associates Medical Group Inc a Professional Corp Critical Care Medicine CurrentSince Jan 1, 1998 Accepting new patients
Aretaeus Telemedicine Inc. Critical Care Medicine CurrentSince May 17, 2021 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Feb 8, 2009 Accepting new patients
Emergency and Acute Care Medical Corporation CurrentSince Oct 1, 2008 Accepting new patients
County of Monterey CurrentSince Sep 2, 2010 Accepting new patients
Community Hospital of the Monterey Peninsula CurrentSince Feb 8, 2009 Accepting new patients
Monterey Bay Heart Center Past Accepting new patients

Locations

300 W Huntington Dr
Arcadia, CA 91007
Phone (626) 445-4441

30 Garden Ct
Monterey, CA 93940
Phone (831) 646-8570

1010 Cass St
Ste B1
Monterey, CA 93940
Phone (831) 646-8570

23625 Wr Holman Hwy
Monterey, CA 93940
Phone (831) 622-2708

1441 Constitution Blvd
Salinas, CA 93906
Phone (831) 261-8090

75 Nielson St
Watsonville, CA 95076
Phone (831) 724-4741

Organizations & group practices 8

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.

Hospital & facility affiliations 6

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": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1922058437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 GARDEN CT",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405302",
            "telephone_number": "831-646-8570",
            "fax_number": "831-646-5435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 GARDEN CT",
            "city": "MONTEREY",
            "state": "CA",
            "postal_code": "939405302",
            "telephone_number": "831-646-8570",
            "fax_number": "831-646-5435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOOSTRA",
        "first_name": "JOHN",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RS0012X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Sleep Medicine",
            "state": "CA",
            "license": "G75276",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "CA",
            "license": "G75276",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "CA",
            "license": "G75276",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monterey, CA

Sources for this page

Verify at the official NPI Registry.