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RODRICK LASHONN COBURN PA-C
NPI 1205847290
Physician Assistant in Porter Ranch, CA

Active since August 11, 2006PECOS Enrolled
11445 GHIBERTI WAY, PORTER RANCH, CA 91326(818) 422-2595 Get Directions Write a Review

NPPES record last updated: July 27, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Rodrick Lashonn Coburn Pa-c NPPES

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

RODRICK LASHONN COBURN PA-C (NPI 1205847290) is an individual physician assistant in Porter Ranch, California, licensed in California (PA18361) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205847290
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRODRICK LASHONN COBURNCredential: PA-C
Location Address11445 GHIBERTI WAYPorter Ranch, CA 91326-4084
Mailing Address11445 Ghiberti WayPorter Ranch, CA 91326-4084 · (818) 422-2595
Phone(818) 422-2595
Sole ProprietorNo
Enumeration DateAugust 11, 2006
Last NPPES UpdateJuly 27, 2016
✔ NPI 1205847290 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA18361
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
11445 GHIBERTI WAY, Porter Ranch, CA 91326
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Rodrick Lashonn Coburn Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 91326 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Rodrick Coburn's NPI number?

The NPI number for Rodrick Coburn is 1205847290. It was assigned to this individual provider in the NPPES registry on August 11, 2006.

Where is Rodrick Coburn located?

Rodrick Coburn practices at 11445 Ghiberti Way, Porter Ranch, CA 91326. The listed phone number is (818) 422-2595.

What is Rodrick Coburn's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Rodrick Coburn enrolled in Medicare?

Yes. Rodrick Coburn is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Rodrick Coburn was last updated on July 27, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.