Austin M. Kooba, MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

A71262 Issued in CA

Practice address

420 Heffernan Ave Ste D
Calexico, CA 92231-4718

Phone

(760) 270-9126

Fax

(760) 890-0005

NPI assigned

Jan 17, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Obstetrics/Gynecology

Education

University of Colorado School of Medicine, Denver, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: austin.kooba@3194.securemail.prognocis.com

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.

• Calexico Wellness Center

  • Family Medicine Physician
  • Calexico, CA
  • NPI 1215443346
  Medicare reassignment NPD

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758067200000",
    "number": "1982756102",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "239 HILL ST # 222",
            "city": "SOLANA BEACH",
            "state": "CA",
            "postal_code": "920751141",
            "telephone_number": "858-422-8010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 HEFFERNAN AVE STE D",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922314718",
            "telephone_number": "760-270-9126",
            "fax_number": "760-890-0005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "330 S Magnolia Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "El Cajon",
            "state": "CA",
            "postal_code": "920205224",
            "country_code": "US",
            "telephone_number": "858-353-3945",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOBA",
        "first_name": "AUSTIN",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2025-09-17",
        "certification_date": "2025-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A71262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A712620",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Fonseca Jimenez, SUDCC
• Kamran Ghoreyshi DDS Inc
• Mervat G. Kelada, M.D.
• Sae Rom Kim
• Robert Kleiman, D.P.M.
• Kassandra Celeste Versachi Landeros
• Karely Lara Paz, FNP
• Alexandra Camila Lara
• Issadora Lara, MD
• Celina Lee

• Obstetrics & Gynecology Physician in Calexico, CA
• Providers in Calexico, CA by specialty
• Obstetrics & Gynecology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 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.

Verify at the official NPI Registry.