MEDICARE: COLEY T RANSAW PA-S

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	363A00000X	Physician Assistant	67263	CA

General Provider Information

NPI Number	:	1992594642
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	COLEY T RANSAW PA-S

Provider Business Mailing Address
First Line	:	2727 N MAIN PLACE DR UNIT 416
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-6062
Country	:	US
Telephone Number	:	504-915-9444
Fax Number	:

Provider Business Practice Location Address
First Line	:	2727 N MAIN PLACE DR UNIT 416
Second Line	:
City	:	SANTA ANA
State	:	CA
Zip	:	92705-6062
Country	:	US
Telephone Number	:	504-915-9444
Fax Number	:

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

Provider Enumeration Date	:	04/30/2025
Last Update Date	:	12/19/2025

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Directions to “ COLEY T RANSAW PA-S” Practice Location

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