Active NPI
Antonio K Coirin M.D. Inc.
- Specialist
- Modesto, CA
National Provider Identifier
1679696660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G596970
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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 DirectoryLocations
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.