KATHLEEN M COFFMAN PA
NPI 1013912575
Physician Assistant - Medical in Huntington Beach, CA

Active since June 20, 2005PECOS EnrolledAccepts Medicare Assignment
19066 MAGNOLIA ST, HUNTINGTON BEACH, CA 92646(714) 968-0068 Get Directions Write a Review

NPPES record last updated: November 29, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kathleen M Coffman Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATHLEEN M COFFMAN PA (NPI 1013912575) is an individual medical provider in Huntington Beach, California, licensed in California (PA15569) and active in the NPI registry since June 2005. She is enrolled in Medicare PECOS and is a graduate of Other (2000).

NPPES Registry Identity

NPI1013912575
Entity TypeIndividualFemale
Primary Taxonomy363AM0700X
Provider Legal NameKATHLEEN M COFFMANCredential: PA
Location Address19066 MAGNOLIA STHuntington Beach, CA 92646-2232
Mailing Address15631 Eden StWestminster, CA 92683-6828 · (714) 898-1855
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateJune 20, 2005
Last NPPES UpdateNovember 29, 2021
NPI 1013912575 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License Licensed in CA · PA15569
19066 MAGNOLIA ST, Huntington Beach, CA 92646

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Kathleen M Coffman Pa is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123187879
PECOS Enrollment IDI20081110000532
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Audiologist
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Physical Medicine & Rehabilitation (Pain Medicine)
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Internal Medicine
19066 MAGNOLIA ST, HEALTHCARE PARTNERS
HUNTINGTON BEACH, CA 92646
Physician Assistant
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Physician Assistant (Medical)
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Clinical Pharmacology
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646
Clinic/Center (Radiology)
19066 MAGNOLIA ST
HUNTINGTON BEACH, CA 92646

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kathleen Coffman's NPI number?

The NPI number for Kathleen Coffman is 1013912575. It was assigned to this individual provider in the NPPES registry on June 20, 2005.

Where is Kathleen Coffman located?

Kathleen Coffman practices at 19066 Magnolia St, Huntington Beach, CA 92646. The listed phone number is (714) 968-0068.

What is Kathleen Coffman's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Is Kathleen Coffman enrolled in Medicare?

Yes. Kathleen Coffman is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Kathleen Coffman was last updated on November 29, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.