JOHN DIRK COBURN M.D.
NPI 1093078172
Student in an Organized Health Care Education/Training Program in Sacramento, CA

NPI Status: Active since June 22, 2012

Contact Information

2315 STOCKTON BLVD # 2100
SACRAMENTO, CA
ZIP 95817
Phone: (916) 734-8571
Fax: (916) 734-7950

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  • Individual
  • Male
  • Student in an Organized Health Care Educ...
  • PECOS Enrolled

About JOHN COBURN

This page provides the complete NPI Profile along with additional information for John Coburn, a primary care provider established in Sacramento, California with a medical specialization in Student In An Organized Health Care Education/training Program. The healthcare provider is registered in the NPI registry with number 1093078172 assigned on June 2012. The practitioner's primary taxonomy code is 390200000X. The provider is registered as an individual and his NPI record was last updated 4 years ago.

NPI
1093078172
Provider Name
JOHN DIRK COBURN M.D.
Gender
Male
Entity Type
Individual
Location Address
2315 STOCKTON BLVD # 2100 SACRAMENTO, CA 95817
Location Phone
(916) 734-8571
Location Fax
(916) 734-7950
Mailing Address
2315 STOCKTON BLVD # 2100 SACRAMENTO, CA 95817
Mailing Phone
(916) 734-8571
Mailing Fax
(916) 734-7950
Is Sole Proprietor?
No
Enumeration Date
06-22-2012
Last Update Date
12-15-2021
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A primary care provider (PCP) like John Coburn sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Student in an Organized Health Care Education/Training Program

Taxonomy Code
390200000X
Type
Student, Health Care
Taxonomy Description
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.

Medicare Participation & PECOS Enrollment Status

John Coburn is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Emergency department visit for life threatening or functioning severity

An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.

This service was performed 31 times for 30 patients

Emergency department visit for problem of high severity

An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.

This service was performed 11 times for 11 patients

Reviews for JOHN DIRK COBURN M.D.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1093078172
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
201830716114
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 0 + 1 + 8 + 3 + 0 + 7 + 1 + 6 + 1 + 1 + 4 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1093078172 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 4 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1417210592 JAMES JEFFREY LUZ MD
Individual
Student in an Organized Health Care Education/Training Program2315 STOCKTON BLVD # 2100
SACRAMENTO, CA 95817
(916) 734-8571
1750644837 MIRIAM THAIS DAVIS M.D.
Individual
Emergency Medicine2315 STOCKTON BLVD # 2100
SACRAMENTO, CA 95817
(916) 734-8571
1831452903 DANE ERIC STEVENSON M.D.
Individual
Emergency Medicine2315 STOCKTON BLVD # 2100
SACRAMENTO, CA 95817
(916) 734-8571
1659669737 STEVEN CARL GLOCKE M.D.
Individual
Emergency Medicine2315 STOCKTON BLVD # 2100
SACRAMENTO, CA 95817
(916) 734-8571

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093078172, enumerated in the NPI registry as an "individual" on June 22, 2012

The provider is located at 2315 Stockton Blvd # 2100 Sacramento, Ca 95817 and the phone number is (916) 734-8571

The provider's speciality is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Emergency department visit for life threatening or functioning severity and Emergency department visit for problem of high severity.

This NPI record was last updated on June 22, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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