FELIPE DE JESUS CORONADO (PA-C) – Physician Assistant, NPI 1508920059

FELIPE DE JESUS CORONADO (PA-C) is a healthcare provider. based in Bakersfield, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA05049 (TX). The NPI Number for FELIPE DE JESUS CORONADO (PA-C) is 1508920059

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
FELIPE DE JESUS CORONADO (PA-C)
NPI
1508920059
Phone
(661) 322-2700
Address
5600 CALIFORNIA AVE STE 101
Enumeration Date
20 December 2006
Last Update Date
24 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9097932323
Graduation Year
2006 (20 years ago)
PAC ID
9234237280
Group Practice PAC ID
2062546260
Professional Enrollment ID
I20180514002621
Address ID
CA923734870RE255XXBLVD311
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience89
Completeness75
Years active:19State licenses:4Digital endpointsOther names

10,564 PHYSICIAN ASSISTANT in CA

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Provider Addresses for FELIPE DE JESUS CORONADO (PA-C)

  • California Avenue, Bakersfield, Kern County, California, 93301, United States

    BAKERSFIELD, CA 93309

    Phone: (661) 322-2700

    Fax: (661) 427-4587

    Type: Location

  • 1111 GRAND AVE STE K

    DIAMOND BAR, CA 917654172

    Phone: (909) 860-4254

    Fax: (098) 602-6749

    Type: Location

  • 3724 Executive Center Dr Ste G10

    Austin, TX 787311665

    Phone: (512) 345-5925

    Fax: (512) 343-7113

    Type: Location

  • Artesia Boulevard, Redondo Beach, Los Angeles County, California, 90278, United States

    REDONDO BEACH, CA 902783207

    Phone: (424) 276-4700

    Fax: (424) 903-1099

    Type: Mailing

  • 175 S Harbor Blvd

    Anaheim, CA 928053710

    Phone: (909) 860-4254

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 72 Open Payments records for all available years, with a total value of $1,906.

Total Amount is formed as General ($1,906) + Research ($0) + Ownership ($0) = $1,906.

Last reported payment date: 2024-12-18 • Largest payer in this snapshot: Dermavant Sciences, Inc. ($473).

Total Amount

$1,906

General + Research + Ownership

Payments

72

Total payment records

General Amount

$1,906

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-18

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-05-14

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20080328000273IPhysician AssistantTXTBD
I20180514002621IPhysician AssistantCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes222124$0
17003Destruction of precancer skin growth, 2-14 growths21721$0
99214Established patient office or other outpatient visit, 30-39 minutes4730$0
17111Destruction of skin growth, 15 or more growths4424$0
11102Biopsy of related skin growth, first growth3732$0
View full utilization report →

Insurance plans in this area (ZIP 93309)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2062546260View full group profile
NameSpecialtyState
Physician AssistantCA
Nurse PractitionerCA
Nurse PractitionerCA
Nurse PractitionerCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantIA
-CA

Reviews

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Frequently asked questions

What is the registry number for FELIPE DE JESUS CORONADO (PA-C)?
The registry entry for FELIPE DE JESUS CORONADO (PA-C) shows NPI 1508920059.
Quick check: is FELIPE DE JESUS CORONADO (PA-C) active?
Public NPPES data shows FELIPE DE JESUS CORONADO (PA-C) with an active NPI status right now.
What services align with FELIPE DE JESUS CORONADO (PA-C)'s listing?
FELIPE DE JESUS CORONADO (PA-C)'s public classification highlights Physician Assistant. Clinical services aligned with this taxonomy classification.
Which community is linked to FELIPE DE JESUS CORONADO (PA-C)?
FELIPE DE JESUS CORONADO (PA-C) shows a connection to Bakersfield, California in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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