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PATRICK JOHN COFFEY PA-C
NPI 1811399645
Physician Assistant in Victorville, CA

Active since September 24, 2014PECOS EnrolledAccepts Medicare Assignment
14011 PARK AVE, VICTORVILLE, CA 92392(951) 788-3000 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Patrick John Coffey Pa-c NPPES

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

PATRICK JOHN COFFEY PA-C (NPI 1811399645) is an individual physician assistant in Victorville, California and active in the NPI registry since September 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1811399645
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePATRICK JOHN COFFEYCredential: PA-C
Location Address14011 PARK AVEVictorville, CA 92392-2413
Mailing Address16840 Canyon View DrRiverside, CA 92504-6252 · (951) 733-9979
Phone(951) 788-3000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateSeptember 24, 2014
Last NPPES UpdateOctober 22, 2025
NPPES CertifiedOctober 22, 2025
✔ NPI 1811399645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
14011 PARK AVE, Victorville, CA 92392
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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 and accepts Medicare assignment

Patrick John Coffey Pa-c 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 ID2961428883
PECOS Enrollment IDI20150204002381
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 92392 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
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Other Providers at the Same Location NPPES 20

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

GEORGE ELIAS TANNOUZ PHARMD
Pharmacist
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (760) 843-2015
JOSEPH S HERNANDEZ RPH
Pharmacist
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (760) 843-2072
THUY T VO PHARM D.
Pharmacist
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (760) 843-2072
MARLANE RULLODA
Pharmacist
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (760) 843-2015
DR. NAZIUH NAIM BISHAY M.D.
Family Medicine
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (888) 750-0036
NICOLE ORRELL
Pharmacist
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (760) 843-2015
MR. CHETAN KRISHNA GAIROLA D.O.
Family Medicine
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (888) 750-0036
DEMETRIUS SHAMOND WILLIAMS LVN
Licensed Vocational Nurse
14011 PARK AVE
VICTORVILLE, CA 92392
San Bernardino County (760) 843-2000

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 Patrick Coffey's NPI number?

The NPI number for Patrick Coffey is 1811399645. It was assigned to this individual provider in the NPPES registry on September 24, 2014.

Where is Patrick Coffey located?

Patrick Coffey practices at 14011 Park Ave, Victorville, CA 92392. The listed phone number is (951) 788-3000.

What is Patrick Coffey's specialty?

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

Is Patrick Coffey enrolled in Medicare?

Yes. Patrick Coffey 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 Patrick Coffey was last updated on October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.