Organization Active NPI

Antonio K Coirin M.D. Inc.

  • Specialist
  • Modesto, CA
National Provider Identifier
1679696660
Registry record updated Dec 31, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
G596970 Issued in CA
Legal business name
ANTONIO K COIRIN M.D. INC.
Practice address
1329 Spanos CT
Siute B4
Modesto, CA 95355-2806
Phone
(209) 300-7947
Fax
(209) 566-9079
NPI assigned
Apr 6, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2013

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

Authorized official

Name
Antonio K Coirin, M.D.
Title
Surgeon
Phone
(209) 300-7947

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X G596970 CA Primary

Addresses

Primary practice location

1329 Spanos CT
Siute B4
Modesto, CA 95355-2806

Mailing address

1329 Spanos CT
Siute B4
Modesto, CA 95355-2806
Phone (209) 300-7947

National Provider Directory

National Provider Directory

Locations

1329 Spanos Ct
Ste B4
Modesto, CA 95355
Phone (209) 300-7947

530 W Acacia St
Ste 23
Stockton, CA 95203
Phone (209) 334-8531

NPI Registry JSON

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1388448000000",
    "number": "1679696660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1329 SPANOS CT",
            "address_2": "SIUTE B4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552806",
            "telephone_number": "209-300-7947",
            "fax_number": "209-566-9079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1329 SPANOS CT",
            "address_2": "SIUTE B4",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552806",
            "telephone_number": "209-300-7947",
            "fax_number": "209-566-9079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANTONIO K COIRIN M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2013-12-31",
        "status": "A",
        "authorized_official_last_name": "COIRIN",
        "authorized_official_first_name": "ANTONIO",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "SURGEON",
        "authorized_official_telephone_number": "209-300-7947",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "G596970",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Modesto, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.