Modesto Surgical Associates

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

Legal business name

MODESTO SURGICAL ASSOCIATES

Practice address

1401 Spanos CT
127
Modesto, CA 95355-2810

Phone

(209) 525-3848

Fax

(209) 525-3886

NPI assigned

Jul 19, 2006

Last updated

Jan 11, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Carrie Payne

Title

Supervisor

Phone

(209) 525-3835

Specialties & licenses 5

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200009600000",
    "number": "1326067208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "127",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-525-3848",
            "fax_number": "209-525-3886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 SPANOS CT",
            "address_2": "127",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552810",
            "telephone_number": "209-525-3848",
            "fax_number": "209-525-3886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO SURGICAL ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-19",
        "last_updated": "2008-01-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "CARRIE",
        "authorized_official_title_or_position": "SUPERVISOR",
        "authorized_official_telephone_number": "209-525-3835",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0127X",
            "taxonomy_group": "",
            "desc": "Surgery, Trauma Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GR0076520",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modesto Senior Living Limited Partnership (Sundial Senior Living Community)
• Modesto SNF Operations LLC (Golden Modesto Care Center)
• Modesto Specialty Surgery Center, PC
• Modesto Surgery Center
• Modesto Surgery Center LLC
• Modesto Urgent Care Inc
• Modi Dental Corporation
• Jenil Modi, MD
• Priti Tushar Modi, M.D., F.A.C.P.
• Tushar R. Modi, M.D.

• Surgery Physician in Modesto, CA
• Providers in Modesto, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2008; 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.