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COLEY M KING D.O.
NPI 1215038856
Family Medicine in Venice, CA

Active since September 26, 2006PECOS EnrolledAccepts Medicare Assignment
604 ROSSE AVE., VENICE, CA 90291(310) 392-8630 Get Directions Write a Review

NPPES record last updated: February 12, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Coley M King D.o. NPPES

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

COLEY M KING D.O. (NPI 1215038856) is an individual family medicine provider in Venice, California, licensed in California (20A7544) and active in the NPI registry since September 2006. She is enrolled in Medicare PECOS and is a graduate of University Medical College Of Kansas City (1998).

NPPES Registry Identity

NPI1215038856
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameCOLEY M KINGCredential: D.O.
Location Address604 ROSSE AVE.Venice, CA 90291
Mailing Address604 Rosse Ave.Venice, CA 90291
Phone(310) 392-8630
Sole ProprietorNo
Medical School CMSUniversity Medical College Of Kansas CityGraduated 1998
Enumeration DateSeptember 26, 2006
Last NPPES UpdateFebruary 12, 2021
NPPES CertifiedFebruary 12, 2021
✔ NPI 1215038856 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 · 20A7544
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.
604 ROSSE AVE., Venice, CA 90291
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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

Coley M King 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 ID7315936507
PECOS Enrollment IDI20040511001804
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.

Medicare Billing Reassignment

Medicare enrollment records show Coley King reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Venice Family Clinic
Same address
Federally Qualified Health Center (FQHC)
604 ROSE AVE
Venice, CA 90291
  • Reassigned Medicare billing, California enrollment
  • 147 clinicians in this Medicare group
NPI 1669418513 (310) 392-8636

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 90291 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
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

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 Coley King's NPI number?

The NPI number for Coley King is 1215038856. It was assigned to this individual provider in the NPPES registry on September 26, 2006.

Where is Coley King located?

Coley King practices at 604 Rosse Ave., Venice, CA 90291. The listed phone number is (310) 392-8630.

What is Coley King's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Coley King enrolled in Medicare?

Yes. Coley King 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 Coley King's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Coley King reassigns Medicare benefits to Venice Family Clinic (Venice, 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 Coley King'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 Coley King was last updated on February 12, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.