Modesto Surgery Center

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

MODESTO SURGERY CENTER

Practice address

400 E Orangeburg Ave
Suite 1
Modesto, CA 95350-5342

Phone

(209) 526-3000

Fax

(209) 526-3133

NPI assigned

Jun 1, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Christy L Casey

Title

Business Office Manager

Phone

(209) 526-3000

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Modesto Surgery Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Modesto Surgery Center LLC

  • Ambulatory Surgical Clinic/Center
  • Modesto, CA
  • NPI 1356463913
  NPD tax ID

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Margaret Tesluk, CRNA

  • Registered Nurse
  • Modesto, CA
  • NPI 1275688194
  NPD (past)

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

{
    "created_epoch": "1149120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1346287232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E ORANGEBURG AVE",
            "address_2": "SUITE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505342",
            "telephone_number": "209-526-3000",
            "fax_number": "209-526-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E ORANGEBURG AVE",
            "address_2": "SUITE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953505342",
            "telephone_number": "209-526-3000",
            "fax_number": "209-526-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MODESTO SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "209-526-3000",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01324F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Modesto Radiology Imaging, Inc.
• Modesto Residential Living Center
• Modesto Senior Living Limited Partnership
• Modesto SNF Operations LLC
• Modesto Specialty Surgery Center, PC
• Modesto Surgery Center LLC
• Modesto Surgical Associates
• Modesto Urgent Care Inc
• Modi Dental Corporation
• Jenil Modi, MD

• Ambulatory Surgical Clinic/Center in Modesto, CA
• Providers in Modesto, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.