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
- 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) |
---|---|---|---|---|
1 | 363AM0700X | Physician Assistants & Advanced Practice Nursing Providers | Physician Assistant | 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
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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. | |||||||||
1 | 7 | 1 | 0 | 3 | 2 | 9 | 5 | 0 | 3 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 7 | 2 | 0 | 6 | 2 | 18 | 5 | 0 | |
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 = 3 | 3 |
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 Practitioner | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2161 |
1104970656 | PATRICK 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 Medicine | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
1497963771 | DR. 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 |
1538369806 | DR. MARY ANN HODGES HUNTSMAN PHARM. D. Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0186 |
1053590844 | CARLOS INFANTE ROBLES PHARMACIST Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0640 |
1629258447 | MR. CHRISTOPHER BURKETT P.A. Individual | Physician Assistant | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 650-0640 |
1982660452 | DR. DUC THE VU DDS Individual | Dentist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2130 |
1568876209 | MRS. NICOLE GANCI LVN Individual | Licensed Vocational Nurse | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1063894988 | MS. CHRISTINA THI NGUYEN PA - C Individual | Physician Assistant (Medical) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1356515365 | DR. ERIC CHUANG-HAN HUANG M.D. Individual | Family Medicine | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 536-3914 |
1306197819 | MISS JESSICA MARIE JIMENEZ PA-C Individual | Physician Assistant | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1720590003 | STEPHANIE TRAN PA Individual | Physician Assistant | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1336505312 | ROCIO MAGDALENA BENDER PHARMD Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1548757271 | NANCY DAO PHARMD Individual | Pharmacist | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1821612128 | SHARE OUR SELVES CORPORATION Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1550 SUPERIOR AVE COSTA MESA, CA 92627 (949) 270-2100 |
1548201726 | DR. JAY WON LEE MD, MPH Individual | Family Medicine | 1550 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.