MEDICARE: DR. MELISSA R COOMES M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	MD61492250	WA
2	207Q00000X	Family Medicine Physician	43267	CO
3	207Q00000X	Family Medicine Physician	U7792	TX
4	207Q00000X	Family Medicine Physician	C183729	CA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	CO803861	OTHER	CO	MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1811987605
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA R COOMES M.D.

Provider Business Mailing Address
First Line	:	1 EMBARCADERO CTR STE 1900
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3723
Country	:	US
Telephone Number	:	415-658-6791
Fax Number	:

Provider Business Practice Location Address
First Line	:	2 EMBARCADERO CTR LBBY LEVEL
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94111-3823
Country	:	US
Telephone Number	:	888-663-6331
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2005
Last Update Date	:	03/28/2024

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Directions to “ DR. MELISSA R COOMES M.D.” Practice Location

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