KATHLEEN LOUISE COETZEE D.O.
NPI 1104148295
Family Medicine in San Diego, CA
About Kathleen Louise Coetzee D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN LOUISE COETZEE D.O. (NPI 1104148295) is an individual family medicine provider in San Diego, California, licensed in California (20A11342) and active in the NPI registry since February 2010. She is enrolled in Medicare PECOS and is a graduate of Other (2007).
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kathleen Louise Coetzee D.o. 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.
Medicare Billing Reassignment
Medicare enrollment records show Kathleen Coetzee reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92120
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 92120 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
SAN DIEGO, CA 92120
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 Coetzee's NPI number?
The NPI number for Kathleen Coetzee is 1104148295. It was assigned to this individual provider in the NPPES registry on February 17, 2010. The provider is also known as Kathleen Louise Harrington D.O..
Where is Kathleen Coetzee located?
Kathleen Coetzee practices at 4405 Vandever Ave, San Diego, CA 92120. The listed phone number is (619) 516-6339.
What is Kathleen Coetzee's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Kathleen Coetzee enrolled in Medicare?
Yes. Kathleen Coetzee 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.
Which organization bills Medicare for Kathleen Coetzee's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kathleen Coetzee reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kathleen Coetzee's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Kathleen Coetzee was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kathleen Louise Coetzee, D.O. · NPI 1104148295
Family Medicine physician in San Diego, California. Individual provider, active in the CMS NPPES registry since February 17, 2010.
## Identity
- **NPI:** 1104148295 (Entity type: Individual)
- **Enumerated:** February 17, 2010
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 20A11342 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 4405 VANDEVER AVE, San Diego, CA 92120-3315
- **Phone:** (619) 516-6339
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1225060742, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2007
## Record status
- **NPPES last updated:** December 13, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1104148295) · Data from the CMS NPPES public registry.