CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION (NPI# 1124141163) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124141163 |
Entity Type | Organization |
Organization Name | CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION |
Practice Address |
1552 Coffee Rd Suite 200 Modesto CA 95355-3122 |
Practice Telephone | 2092487168 |
Practice Fax Number | 2098469641 |
Mailing Telephone | 2092487168 |
Mailing Fax Number | 2098469641 |
Enumeration Date | 2007-04-06 |
Last Update Date | 2017-04-17 |
Authorized Official Name | DR. PATRICK JAMES COATES (SURGEON) |
Authorized Official Telephone | 2095253885 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 208600000X | Surgery | A354240 | CA | Allopathic & Osteopathic Physicians |
Street Address |
1552 COFFEE RD SUITE 200 |
City | MODESTO |
State | CA |
Zip Code | 95355-3122 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427008028 | Esther June Tow-der | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-12 |
1528414133 | Nicholas Holt Hopkins | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2016-05-12 |
1174920821 | Prudence Ticknor | Dietitian, Registered | 1552 Coffee Rd, Suite 200, Modesto, CA 95355-3122 | 2014-11-24 |
1235576638 | Matthew Laurence Tilstra | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2013-05-28 |
1619310737 | Rocio Acera Pozzi | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3122 | 2013-04-08 |
1093900961 | Stephen K Liu Md Professional Corporation | Radiology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2007-09-13 |
1073735163 | Pam Sue Grassmidt | Nurse Practitioner | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2007-05-02 |
1992710768 | Hera Obgyn Medical Group, Inc. | Obstetrics & Gynecology | 1552 Coffee Rd, 1st Floor, Modesto, CA 95355-3107 | 2006-07-30 |
1306889860 | Stephen Kao Liu | Radiology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-06-13 |
1619929429 | James Yuen Kuen Yip | Obstetrics & Gynecology | 1552 Coffee Rd, Modesto, CA 95355-3107 | 2006-05-17 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
Find all providers in zip 95355 |
Taxonomy Code | 208600000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023575693 | Adventist Health Physicians Network | Surgery | 200 W Roseburg Ave Ste B1, Modesto, CA 95350-5200 | 2019-03-01 |
1790714541 | Fereydoun Azadi | Surgery | 1401 Spanos Ct Ste 127, Modesto, CA 95355 | 2006-07-02 |
1881647360 | Paul W Embree | Surgery | 4543 Roselle Av, Modesto, CA 95357 | 2006-05-18 |
1063479301 | Patrick James Coates | Surgery | 1552 Coffee Rd Ste 200, Modesto, CA 95355-3122 | 2006-04-28 |
1053308197 | Calvin M Lee | Surgery | 2336 Sylvan Ave, Ste C, Modesto, CA 95355-9294 | 2005-10-04 |
1366824161 | Surgical Associates Inc | Surgery | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-29 |
1871912519 | Jahoon Koo | Surgery | 1700 Coffee Rd, Modesto, CA 95355 | 2014-04-09 |
1316388325 | Andrew T Huber | Surgery | 1552 Coffee Rd Ste 200, Modesto, CA 95355 | 2013-07-08 |
1841636123 | Rachel Hyunah Teng | Surgery | 1541 Florida Ave Ste 200, Modesto, CA 95350 | 2013-05-14 |
1942551049 | Behnam Seyed Jazayeri-moghadass | Surgery | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-09-28 |
Find all providers in MODESTO |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.