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MS. ROBERTA MCCOY NP
NPI 1104875418
Nurse Practitioner in San Diego, CA

Active since May 06, 2006
3350 LAJOLLA VILLAGE DR., SAN DIEGO, CA 92161(858) 552-8585(858) 642-1435 Get Directions Write a Review

NPPES record last updated: July 13, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ms. Roberta Mccoy Np NPPES

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

MS. ROBERTA MCCOY NP (NPI 1104875418) is an individual nurse practitioner in San Diego, California, licensed in California (CA 218293) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1104875418
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameMS. ROBERTA MCCOYCredential: NP
Location Address3350 LAJOLLA VILLAGE DR.San Diego, CA 92161-0001
Mailing Address3350 Lajolla Village DrSan Diego, CA 92161-0001 · (858) 552-8585 · Fax (858) 642-1435
Phone(858) 552-8585
Fax(858) 642-1435
Sole ProprietorNo
Enumeration DateMay 6, 2006
Last NPPES UpdateJuly 13, 2007
✔ NPI 1104875418 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · CA 218293
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
3350 LAJOLLA VILLAGE DR., San Diego, CA 92161
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Other Providers at the Same Location NPPES

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

DR. BENJAMIN ROBERT DISHMAN BS PHARM, PHARM D.
Pharmacist (Psychiatric)
3350 LAJOLLA VILLAGE DR.
SAN DIEGO, CA 92161
San Diego County (585) 552-8585

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 Roberta Mccoy's NPI number?

The NPI number for Roberta Mccoy is 1104875418. It was assigned to this individual provider in the NPPES registry on May 6, 2006.

Where is Roberta Mccoy located?

Roberta Mccoy practices at 3350 Lajolla Village Dr., San Diego, CA 92161. The listed phone number is (858) 552-8585.

What is Roberta Mccoy's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

When was this NPI record last updated?

The NPPES record for Roberta Mccoy was last updated on July 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.