Individual provider Active NPI

Patrick James Coates, M.D.

  • Surgery Physician
  • Modesto, CA
National Provider Identifier
1063479301
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A35424 Issued in CA
Practice address
1001 Sylvan Ave Ste a
Modesto, CA 95350-1699
Phone
(209) 422-6120
NPI assigned
Apr 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X A35424 CA Primary
Surgery Physician 208600000X A354240 CA

Addresses

Primary practice location

1001 Sylvan Ave Ste a
Modesto, CA 95350-1699

Mailing address

1001 Sylvan Ave Ste a
Modesto, CA 95350-1699
Phone (209) 248-7168

Other practice location 1

1552 Coffee Rd Ste 200
Modesto, CA 95355-3122
Phone (209) 248-7168

Other practice location 2

644 E Harding Way Ste B
Stockton, CA 95204-6103
Phone (209) 244-9191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040310000719 CA Practitioner - General Surgery 5698663508 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1552 Coffee Rd
Suite 200
Modesto, CA 95355-3122
Phone 2092487168151

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A354240CAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central California Bariatric Surgery, Partnership Surgery CurrentSince Jan 6, 2025 Accepting new patients
Central California Bariatric Surgery a Medical Corporation Surgery CurrentSince Jan 1, 2005 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Memorial Hospital Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients

Locations

1001 Sylvan Ave
Ste A
Modesto, CA 95350
Phone (209) 248-7168

1401 Spanos Ct
Ste 224
Modesto, CA 95355
Phone (209) 525-3885

1552 Coffee Rd
Ste 200
Modesto, CA 95355
Phone (209) 248-7168

644 E Harding Way
Stockton, CA 95204

644 E Harding Way
Ste B
Stockton, CA 95204
Phone (209) 244-9191

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: pcoates23156@hisp.ehr.sutterhealth.org

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1063479301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 SYLVAN AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501699",
            "telephone_number": "209-248-7168",
            "fax_number": "209-846-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 SYLVAN AVE STE A",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953501699",
            "telephone_number": "209-422-6120"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1552 Coffee Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Modesto",
            "state": "CA",
            "postal_code": "953553122",
            "country_code": "US",
            "telephone_number": "209-248-7168",
            "fax_number": "209-846-9641",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "644 E Harding Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046103",
            "country_code": "US",
            "telephone_number": "209-244-9191",
            "fax_number": "209-244-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COATES",
        "first_name": "PATRICK",
        "middle_name": "JAMES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-28",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A35424",
            "primary": true
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A354240",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.