Timothy McCarty Coats, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

G32501 Issued in CA

Practice address

545 E Cleveland St Ste a
Stockton, CA 95204-5535

Phone

(209) 472-8400

Fax

(209) 472-3375

NPI assigned

Oct 5, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1386730737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "545 E CLEVELAND ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045535",
            "telephone_number": "209-472-8400",
            "fax_number": "209-472-3375"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "545 E CLEVELAND ST STE A",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045535",
            "telephone_number": "209-472-8400",
            "fax_number": "209-472-3375"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COATS",
        "first_name": "TIMOTHY",
        "middle_name": "MCCARTY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-05",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "G32501",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00G325010",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dindo Angeles Clutario
• CMC
• CMT Medical Transport Solutions, LLC
• Johnston Co, M.D.
• Coast to Coast DME
• Leif Bradly Cobain, DDS
• Martha Cobarrubias
• Angela Joyce Cobb, LMFT
• Eva L Cobb, CHD
• April Cobbs

• Family Medicine Physician in Stockton, CA
• Providers in Stockton, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.