Active NPI
Christopher F Amsden Medical Corporation
- Ambulatory Surgical Clinic/Center
- Modesto, CA
National Provider Identifier
1255529756
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- CHRISTOPHER F AMSDEN MEDICAL CORPORATION
- Doing business as
- Modesto Procedure Suite, Inc.
- Practice address
- 1524 McHenry Ave Ste 465
Modesto, CA 95350-4574 - Phone
- (209) 525-8292
- Fax
- (209) 525-8295
- NPI assigned
- Oct 9, 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
- Dr. Christopher F. Amsden, MD
- Title
- Ceo/Physician
- Phone
- (209) 525-8292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
1524 McHenry Ave Ste 465
Modesto, CA 95350-4574
Mailing address
1524 McHenry Ave Ste 465
Modesto, CA 95350-4574
Phone (209) 525-8292
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255529756 | Other | CA | NPI |
Other names 1
- Modesto Procedure Suite, Inc.
National Provider Directory
National Provider DirectoryLocations
1524 McHenry Ave
Ste 465
Modesto, CA 95350
Phone (209) 525-8292
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191888000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1262736000000",
"number": "1255529756",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 465",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504574",
"telephone_number": "209-525-8292",
"fax_number": "209-525-8295"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1524 MCHENRY AVE STE 465",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504574",
"telephone_number": "209-525-8292",
"fax_number": "209-525-8295"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CHRISTOPHER F AMSDEN MEDICAL CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2007-10-09",
"last_updated": "2010-01-06",
"status": "A",
"authorized_official_last_name": "AMSDEN",
"authorized_official_first_name": "CHRISTOPHER",
"authorized_official_middle_name": "F.",
"authorized_official_title_or_position": "CEO/PHYSICIAN",
"authorized_official_telephone_number": "209-525-8292",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255529756",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Modesto Procedure Suite, Inc.",
"code": "3",
"type": "Doing Business As"
}
]
}
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 Jan 6, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.