CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION
NPI 1124141163
Surgery in Modesto, CA

Q: What is Central California Bariatric Surgery A Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Active since April 06, 2007

1001 SYLVAN AVE STE A, MODESTO, CA 95350(209) 422-6120 Get Directions Write a Review

NPPES record last updated: May 7, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: May 7, 2025, Apr 17, 2017 (2 updates tracked since 2017).

On this page

About Central California Bariatric Surgery A Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION (NPI 1124141163) is a healthcare organization registered as a surgery in Modesto, California and active in the NPI registry since April 2007. The organization maintains 2 additional practice locations and lists Patrick James Coates, Surgeon, as its authorized official.

NPPES Registry Identity

NPI1124141163

Entity TypeOrganization

Primary Taxonomy208600000X

Legal Business NameCENTRAL CALIFORNIA BARIATRIC SURGERY A MEDICAL CORPORATION

Location Address1001 SYLVAN AVE STE AModesto, CA 95350-1699

Mailing Address1001 Sylvan Ave Ste AModesto, CA 95350-1699 · (209) 248-7168 · Fax (209) 846-9641

Phone(209) 422-6120

Organization SubpartNo

Authorized OfficialPatrick James CoatesSurgeon · (209) 525-3885

Enumeration DateApril 6, 2007

Last NPPES UpdateMay 7, 20252 updates tracked since enumeration

NPPES CertifiedMay 7, 2025

✔ NPI 1124141163 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208600000X

License✔ Licensed in CA · A354240

Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.

1001 SYLVAN AVE STE A, Modesto, CA 95350

Open in Google Maps ↗

Secondary Practice Locations 2

Location 11552 Coffee Rd, Suite 200Modesto, CA 95355-3122 · Phone (209) 248-7168 · Fax (209) 846-9641

Location 2644 E Harding Way Ste BStockton, CA 95204-6103 · Phone (209) 248-7168

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Central California Bariatric Surgery A Medical Corporation is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 11 clinicians reassign Medicare billing to Central California Bariatric Surgery A Medical Corporation, which bills Medicare for the services they deliver. Of these, 4 practice at this address and 11 within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

General Surgery4

Nurse Practitioner4

Registered Dietitian or Nutrition Professional2

Clinical Psychologist1

Clinicians, nearest first (11)

Matthew Coates, M.D.

General Surgery

NPI 1073762217

1001 SYLVAN AVE STE A
Modesto, CA 95350

(209) 248-7168

✔ PECOS✔ Accepts MedicareSame address

Patrick Coates, M.D.

General Surgery

NPI 1063479301

1001 SYLVAN AVE STE A
Modesto, CA 95350

(209) 422-6120

✔ PECOS✔ Accepts MedicareSame address

Antonio Coirin, M.D.

General Surgery

NPI 1275573446

1001 SYLVAN AVE STE A
Modesto, CA 95350

(209) 422-6120

✔ PECOS✔ Accepts MedicareSame address

Alyssa Martin, MSN, APRN, FNP-BC

Nurse Practitioner

NPI 1114541117

1001 SYLVAN AVE STE A
Modesto, CA 95350

(209) 248-7168

✔ PECOS✔ Accepts MedicareSame address

Felicia Agibi, PSYD

Clinical Psychologist

NPI 1326547266

1552 COFFEE RD STE 200
Modesto, CA 95355

(209) 248-7168

✔ PECOS✔ Accepts Medicare1.6 mi

Andrew Huber, MD

General Surgery

NPI 1316388325

1552 COFFEE RD STE 200
Modesto, CA 95355

(209) 248-7168

✔ PECOS✔ Accepts Medicare1.6 mi

Katie Ott, RD

Registered Dietitian or Nutrition Professional

NPI 1467095729

1552 COFFEE RD STE 200
Modesto, CA 95355

(209) 248-7168

✔ Accepts Medicare1.6 mi

Tinu Xavier, NP

Nurse Practitioner

NPI 1407297252

1552 COFFEE RD STE 200
Modesto, CA 95355

(209) 248-7168

✔ PECOS✔ Accepts Medicare1.6 mi

Marina Nguyen, NP

Nurse Practitioner

NPI 1215645247

1552 COFFEE RD STE 200
Modesto, CA 95355

(209) 248-7168

✔ PECOS✔ Accepts Medicare1.6 mi

Stacie Liebelt, F.N P.

Nurse Practitioner

NPI 1295779387

4335 N STAR WAY STE A
Modesto, CA 95356

(209) 342-5125

✔ PECOS✔ Accepts Medicare1.6 mi

Prudence Ticknor, RD

Registered Dietitian or Nutrition Professional

NPI 1174920821

1552 COFFEE RD SUITE 200
Modesto, CA 95355

(209) 248-7168

✔ Accepts Medicare1.6 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Central California Bariatric Surgery A Medical Corporation's NPI number?

The NPI number for Central California Bariatric Surgery A Medical Corporation is 1124141163. It was assigned to this organization in the NPPES registry on April 6, 2007.

Where is Central California Bariatric Surgery A Medical Corporation located?

Central California Bariatric Surgery A Medical Corporation is located at 1001 Sylvan Ave Ste A, Modesto, CA 95350. The listed phone number is (209) 422-6120.

What is Central California Bariatric Surgery A Medical Corporation's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Central California Bariatric Surgery A Medical Corporation enrolled in Medicare?

Yes. Central California Bariatric Surgery A Medical Corporation is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Central California Bariatric Surgery A Medical Corporation?

According to the CMS Revalidation Reassignment List (October 2026 release), 11 clinicians in 4 Medicare specialties reassign their Medicare billing to Central California Bariatric Surgery A Medical Corporation. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are General Surgery (4), Nurse Practitioner (4) and Registered Dietitian or Nutrition Professional (2). Of these, 4 practice at this address and 11 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Central California Bariatric Surgery A Medical Corporation was last updated on May 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.