SARA COBURN PA-C
NPI 1710329503
Physician Assistant - Medical in Costa Mesa, CA

NPI Status: Active since July 23, 2013

Contact Information

1550 SUPERIOR AVE
COSTA MESA, CA
ZIP 92627
Phone: (949) 270-2100
Fax: (949) 515-5804

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  • Individual
  • Female
  • Years of Experience 13
  • Physician Assistant
  • Medical
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About SARA COBURN

This page provides the complete NPI Profile along with additional information for Sara Coburn, a primary care provider established in Costa Mesa, California with a medical specialization in Physician Assistant, focusing in medical and more than 13 years of experience. The healthcare provider is registered in the NPI registry with number 1710329503 assigned on July 2013. The practitioner's primary taxonomy code is 363AM0700X with license number PA51618 (CA). The provider is registered as an individual and her NPI record was last updated 9 years ago.

NPI
1710329503
Provider Name
SARA COBURN PA-C
Gender
Female
Entity Type
Individual
Location Address
1550 SUPERIOR AVE COSTA MESA, CA 92627
Location Phone
(949) 270-2100
Location Fax
(949) 515-5804
Mailing Address
1550 SUPERIOR AVE COSTA MESA, CA 92627
Mailing Phone
(949) 270-2100
Mailing Fax
(949) 515-5804
Medical School Name
OTHER
Graduation Year
2013
Is Sole Proprietor?
Yes
Enumeration Date
07-23-2013
Last Update Date
11-29-2016
Code Navigator

A primary care provider (PCP) like Sara 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

Physician Assistant Medical

Taxonomy Code
363AM0700X
Type
Physician Assistants & Advanced Practice Nursing Providers
License No.
PA51618
License State
CA

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1363AM0700XPhysician Assistants & Advanced Practice Nursing Providers

Physician Assistant
Medical

C0005062 (MD)

Medicare Participation & PECOS Enrollment Status

Sara Coburn is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Sara 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

  • PECOS PAC ID: 9739485442

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20240711000069

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • 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

Reviews for SARA COBURN PA-C

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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.
1710329503
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2720621850
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 2 + 0 + 6 + 2 + 1 + 8 + 5 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1710329503 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1538171483 ALINA MATUTES FNP
Individual
Nurse Practitioner1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2161
1104970656PATRICK CHEN
Organization
Clinic/Center (Health Service)1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0640
1003961749 JEREMY ELKINS PA-C
Individual
Physician Assistant (Medical)1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0186
1407060155 LOU-ANNE KEITH NP
Individual
Nurse Practitioner (Family)1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0186
1427265073 PAUL R KUHN M.D.
Individual
Internal Medicine1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0186
1497963771DR. DIANE LIM BEYAOJU DDS
Individual
Dentist (General Practice)1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0656
1780892083 JILA NIKKHAH DDS
Individual
Dentist (General Practice)1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0186
1538369806DR. MARY ANN HODGES HUNTSMAN PHARM. D.
Individual
Pharmacist1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0186
1053590844 CARLOS INFANTE ROBLES PHARMACIST
Individual
Pharmacist1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0640
1629258447MR. CHRISTOPHER BURKETT P.A.
Individual
Physician Assistant1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 650-0640
1982660452DR. DUC THE VU DDS
Individual
Dentist1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2130
1568876209MRS. NICOLE GANCI LVN
Individual
Licensed Vocational Nurse1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1063894988MS. CHRISTINA THI NGUYEN PA - C
Individual
Physician Assistant (Medical)1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1356515365DR. ERIC CHUANG-HAN HUANG M.D.
Individual
Family Medicine1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 536-3914
1306197819MISS JESSICA MARIE JIMENEZ PA-C
Individual
Physician Assistant1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1720590003 STEPHANIE TRAN PA
Individual
Physician Assistant1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1336505312 ROCIO MAGDALENA BENDER PHARMD
Individual
Pharmacist1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1548757271 NANCY DAO PHARMD
Individual
Pharmacist1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1821612128SHARE OUR SELVES CORPORATION
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100
1548201726DR. JAY WON LEE MD, MPH
Individual
Family Medicine1550 SUPERIOR AVE
COSTA MESA, CA 92627
(949) 270-2100

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1710329503, enumerated in the NPI registry as an "individual" on July 23, 2013

The provider is located at 1550 Superior Ave Costa Mesa, Ca 92627 and the phone number is (949) 270-2100

The provider's speciality is Physician Assistant with taxonomy code 363AM0700X with a focus in Medical

The provider has more than 13 years of experience.

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.

This NPI record was last updated on July 23, 2013. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.