Organization Active NPI

Brian M Coombe Medical Corporation

  • Emergency Medicine Physician
  • Placentia, CA
National Provider Identifier
1962092957
Registry record updated Jan 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
Legal business name
BRIAN M COOMBE MEDICAL CORPORATION
Practice address
1041 E Yorba Linda Blvd Ste 203
Placentia, CA 92870-3762
Phone
(818) 709-8161
Fax
(818) 709-8160
NPI assigned
Jan 22, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2021

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

Authorized official

Name
Brian M Coombe, MDNPI 1023257755
Title
Owner
Phone
(412) 515-9279

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207P00000X Primary

Addresses

Primary practice location

1041 E Yorba Linda Blvd Ste 203
Placentia, CA 92870-3762

Mailing address

2900 Quedada
Newport Beach, CA 92660-3533
Phone (415) 515-9279

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210224002814 CA Part B Supplier - Clinic/Group Practice 8527473578 Receives reassigned benefits from 1 practitioner
Practice locations: Placentia, CA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611273600000",
    "number": "1962092957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2900 QUEDADA",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926603533",
            "telephone_number": "415-515-9279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1041 E YORBA LINDA BLVD STE 203",
            "city": "PLACENTIA",
            "state": "CA",
            "postal_code": "928703762",
            "telephone_number": "818-709-8161",
            "fax_number": "818-709-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIAN M COOMBE MEDICAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-22",
        "last_updated": "2021-01-22",
        "certification_date": "2021-01-22",
        "status": "A",
        "authorized_official_last_name": "COOMBE",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "412-515-9279",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Emergency Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Placentia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.