Individual provider Active NPI

Antonio Kobyashi Coirin, M.D.

  • Trauma Surgery Physician
  • Modesto, CA
National Provider Identifier
1275573446
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Trauma Surgery PhysicianTaxonomy code 2086S0127X
License
G59697 Issued in CA
Practice address
1001 Sylvan Ave Ste a
Modesto, CA 95350-1699
Phone
(209) 422-6120
NPI assigned
Jun 7, 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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Trauma Surgery Physician 2086S0127X G59697 CA Primary

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

644 E Harding Way Ste B
Stockton, CA 95204-6103
Phone (209) 248-7168

Other practice location 2

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

Other identifiers 1

IdentifierTypeStateIssuer
00G596971MedicaidCA

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
I20050503000340 CA Practitioner - General Surgery 4981643608 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of California, Davis School of Medicine, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Surgical Associates IncGroup PAC ID 6002110814, 18 clinicians

Practice addresses (Care Compare)

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

1700 Coffee Rd
Modesto, CA 95355-2803
Phone (209) 404-2261

Hospital & facility affiliations

  • Memorial Medical Center Hospital, Modesto, CA, CCN 050557
  • Mark Twain Medical Center Hospital, San Andreas, CA, CCN 051332
  • Memorial Hospital Los Banos Hospital, Los Banos, CA, CCN 050528

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
G59697CAMDTrauma Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of San Joaquin CurrentSince Dec 25, 2020 Accepting new patients
County of San Joaquin CurrentSince Dec 25, 2020 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Dec 25, 2020 Accepting new patients
Central California Bariatric Surgery, Partnership CurrentSince Jan 6, 2025 Accepting new patients
Central California Bariatric Surgery a Medical Corporation CurrentSince Oct 1, 2017 Accepting new patients
Doctors Medical Center of Modesto, Inc. Past Accepting new patients
Doctors Hospital of Manteca, Inc. Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
County of San Joaquin Past Accepting new patients
Sutter Valley Hospitals Past Accepting new patients
Sutter Central Valley Hospitals Past Accepting new patients

Locations

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

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

1700 Coffee Rd
Modesto, CA 95355
Phone (209) 526-4500

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

Interoperability endpoints

  • Direct secure messaging: acoirin23234@hisp.ehr.sutterhealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 3

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": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1275573446",
    "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": "644 E Harding Way Ste B",
            "address_purpose": "LOCATION",
            "city": "Stockton",
            "state": "CA",
            "postal_code": "952046103",
            "country_code": "US",
            "telephone_number": "209-248-7168",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "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"
        }
    ],
    "basic": {
        "last_name": "COIRIN",
        "first_name": "ANTONIO",
        "middle_name": "KOBYASHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": "CA",
            "license": "G59697",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G596971",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

Verify at the official NPI Registry.