HEATHER COFFIN
NPI 1750793600
Student in an Organized Health Care Education/Training Program in Pomona, CA

Active since May 27, 2014PECOS EnrolledAccepts Medicare Assignment
1770 N ORANGE GROVE AVE, SUITE 101, POMONA, CA 91767(909) 469-9494(909) 620-7285 Get Directions Write a Review

NPPES record last updated: December 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Heather Coffin NPPES

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

HEATHER COFFIN (NPI 1750793600) is an individual student in an organized health care education/training program in Pomona, California and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1750793600
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameHEATHER COFFIN
Location Address1770 N ORANGE GROVE AVE, SUITE 101Pomona, CA 91767-3027
Mailing Address1770 N Orange Grove Ave, Suite 101Pomona, CA 91767-3027 · (909) 469-9494 · Fax (909) 620-7285
Fax(909) 620-7285
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateMay 27, 2014
Last NPPES UpdateDecember 16, 2021
NPI 1750793600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
1770 N ORANGE GROVE AVE, Pomona, CA 91767

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

Heather Coffin 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 ID648588848
PECOS Enrollment IDI20170914002683
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 19

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

Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE, 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE, SUITE 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE, # 101
POMONA, CA 91767
Student in an Organized Health Care Education/Training Program
1770 N ORANGE GROVE AVE, # 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE, SUITE 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE, 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE, SUITE 101
POMONA, CA 91767
Family Medicine
1770 N ORANGE GROVE AVE, SUITE 101
POMONA, CA 91767

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 Heather Coffin's NPI number?

The NPI number for Heather Coffin is 1750793600. It was assigned to this individual provider in the NPPES registry on May 27, 2014.

Where is Heather Coffin located?

Heather Coffin practices at 1770 N Orange Grove Ave Suite 101, Pomona, CA 91767. The listed phone number is (909) 469-9494.

What is Heather Coffin's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Heather Coffin enrolled in Medicare?

Yes. Heather Coffin 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 Heather Coffin was last updated on December 16, 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.