1. Home
  2. Directory
  3. California
  4. San Jose
  5. General Practice
  6. NPI Profile

ALFRED COLEMAN JR. PAC
NPI 1720171598
General Practice in San Jose, CA

Active since October 02, 2006PECOS Enrolled
1644 ALUM ROCK AVE, SAN JOSE, CA 95116(408) 347-1680(408) 347-1681 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Alfred Coleman Jr. Pac NPPES

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

ALFRED COLEMAN JR. PAC (NPI 1720171598) is an individual general practice provider in San Jose, California, licensed in California (PA10187) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1720171598
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameALFRED COLEMAN JR.Credential: PAC
Location Address1644 ALUM ROCK AVESan Jose, CA 95116-2429
Mailing Address838 Antero CtSan Jose, CA 95133-1202 · (408) 347-1680 · Fax (408) 347-1681
Phone(408) 347-1680
Fax(408) 347-1681
Sole ProprietorNo
Enumeration DateOctober 2, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1720171598 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License✔ Licensed in CA · PA10187
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1644 ALUM ROCK AVE, San Jose, CA 95116
Open in Google Maps ↗

Other Identifiers 1

OtherPA10187CA · Physician Assistant Licen

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Alfred Coleman Jr. Pac 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.

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. ALBERT A GOMEZ M.D.
General Practice
1644 ALUM ROCK AVE
SAN JOSE, CA 95116
Santa Clara County (408) 347-1680

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 Alfred Coleman's NPI number?

The NPI number for Alfred Coleman is 1720171598. It was assigned to this individual provider in the NPPES registry on October 2, 2006.

Where is Alfred Coleman located?

Alfred Coleman practices at 1644 Alum Rock Ave, San Jose, CA 95116. The listed phone number is (408) 347-1680.

What is Alfred Coleman's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Alfred Coleman enrolled in Medicare?

Yes. Alfred Coleman is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Alfred Coleman was last updated on July 8, 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.