KATHLEEN LOUISE COETZEE D.O.
NPI 1104148295
Family Medicine in San Diego, CA

Active since February 17, 2010PECOS EnrolledAccepts Medicare Assignment
4405 VANDEVER AVE, SAN DIEGO, CA 92120(619) 516-6339 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Jan 26, 2016 (2 updates tracked since 2016).

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

NPI1104148295
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameKATHLEEN LOUISE COETZEECredential: D.O.
Location Address4405 VANDEVER AVESan Diego, CA 92120-3315
Mailing Address4405 Vandever Ave, Department Of Primary CareSan Diego, CA 92120-3315 · (619) 516-6339
Sole ProprietorNo
Medical School CMSOtherGraduated 2007
Enumeration DateFebruary 17, 2010
Last NPPES UpdateDecember 13, 20212 updates tracked since enumeration
NPPES CertifiedDecember 13, 2021
NPI 1104148295 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in CA · 20A11342
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
4405 VANDEVER AVE, San Diego, CA 92120

Other Names 1

Former Name (1)Kathleen Louise Harrington D.o.

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 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.

PECOS PAC ID5597943720
PECOS Enrollment IDI20110617000092
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.

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.

New Patient
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

Advanced Practice Midwife
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pathology (Blood Banking & Transfusion Medicine)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Nurse Anesthetist, Certified Registered
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Psychiatry & Neurology (Psychiatry)
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Urology
4405 VANDEVER AVE, UROLOGIC SURGERY
SAN DIEGO, CA 92120
Pediatrics
4405 VANDEVER AVE
SAN DIEGO, CA 92120
Family Medicine
4405 VANDEVER AVE
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.

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.