Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Coronado

Individual provider Physician Assistant · NPI 1184363608

Anthony Coronado is a Physician Assistant in Modesto, California. Licensed in California. Registered with an NPI since 2022.

Licensed in
CA
In the registry since
2022

Practice location Address checks out

4601 Dale Rd
Modesto, CA 95356-9718
Phone: (209) 735-5000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA61181 (CA)

Record details

NPI number1184363608
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 2, 2022
Last updated in NPPESDecember 9, 2022
Certification dateDecember 9, 2022
Mailing addressPo Box 630, Walnut Grove, CA 95690-0630

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