Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cole Harrison Coster, PHYSICIANASSISTANT

Individual provider Physician Assistant · NPI 1134982291

Cole Harrison Coster, PHYSICIANASSISTANT is a Physician Assistant in Anaheim, California. Qualified in 2023, 3 years ago. Practices with Cornerhealth Medical Group Inc, a 10-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
3
Licensed in
CA
In the registry since
2024
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Practice location Address checks out

631 S Brookhurst St Ste 101
Anaheim, CA 92804-3563
Phone: (714) 991-5700
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA64026 (CA)

Record details

NPI number1134982291
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorNo
NPI enumeratedFebruary 1, 2024
Last updated in NPPESJuly 18, 2024
Certification dateJuly 18, 2024
Mailing address3102 Silverwood Dr, Los Alamitos, CA 90720-4000

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Cornerhealth Medical Group Inc — 10 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Anaheim