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

Mara Beth Coyne, PA-C

Individual provider Surgical Physician Assistant · NPI 1902852155

Mara Beth Coyne, PA-C is a Physician Assistant in Glendale, California. Qualified in 2005, 21 years ago. Practices with Glendale Adventist Medical Center, a 99-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
21
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1505 Wilson Ter Ste 200
Glendale, CA 91206-4071
Phone: (818) 246-8974
Fax: (818) 246-7673
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence PT-18312 (CA)

Record details

NPI number1902852155
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMay 26, 2006
Last updated in NPPESDecember 2, 2021

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2005 (21 years in practice)
Group practice Glendale Adventist Medical Center — 99 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Glendale