1. Home
  2. Directory
  3. California
  4. San Bernardino
  5. Family Medicine
  6. NPI Profile

DR. KRISTIN JOI COLEMAN-WOODSON MD
NPI 1790367209
Family Medicine in San Bernardino, CA

Active since April 23, 2021PECOS Enrolled
1505 W 17TH ST UNIT 1, SAN BERNARDINO, CA 92411(909) 755-0570 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Kristin Joi Coleman-woodson Md NPPES

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

DR. KRISTIN JOI COLEMAN-WOODSON MD (NPI 1790367209) is an individual family medicine provider in San Bernardino, California, licensed in California (1790367209) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Wright State University Boonshoft School Of Medicine (2020).

NPPES Registry Identity

NPI1790367209
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameDR. KRISTIN JOI COLEMAN-WOODSONCredential: MD
Location Address1505 W 17TH ST UNIT 1San Bernardino, CA 92411-1202
Mailing Address1000 W Carson StTorrance, CA 90502-2004 · (951) 655-0574
Phone(909) 755-0570
Sole ProprietorNo
Medical School CMSWright State University Boonshoft School Of MedicineGraduated 2020
Enumeration DateApril 23, 2021
Last NPPES UpdateAugust 27, 2024
NPPES CertifiedAugust 26, 2024
✔ NPI 1790367209 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in CA · 1790367209
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1505 W 17TH ST UNIT 1, San Bernardino, CA 92411
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kristin Joi Coleman-woodson Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9638640063
PECOS Enrollment IDI20260608000671
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 92411 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$104.64 typical visit price
range $19.37 – $146.42
Typical copayment $26.16 (range $4.84 – $36.60)
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 Kristin Coleman-woodson's NPI number?

The NPI number for Kristin Coleman-woodson is 1790367209. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Kristin Coleman-woodson located?

Kristin Coleman-woodson practices at 1505 W 17th St Unit 1, San Bernardino, CA 92411. The listed phone number is (909) 755-0570.

What is Kristin Coleman-woodson's specialty?

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

Is Kristin Coleman-woodson enrolled in Medicare?

Yes. Kristin Coleman-woodson is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kristin Coleman-woodson was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.