Organization Active NPI

Sylvan Surgical Center, LLC

  • Ambulatory Surgical Clinic/Center
  • Modesto, CA
National Provider Identifier
1427474394
Registry record updated Mar 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
SYLVAN SURGICAL CENTER, LLC
Practice address
1524 McHenry Ave
Suite 240
Modesto, CA 95350-4500
Phone
(209) 408-8017
Fax
(209) 408-8437
NPI assigned
Mar 14, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2014

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

Authorized official

Name
Ms. Maureen Jaroscak
Title
Chief Financial Officer
Phone
(424) 279-9481

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

1524 McHenry Ave
Suite 240
Modesto, CA 95350-4500

Mailing address

9461 Charleville Blvd
Suite 482
Beverly Hills, CA 90212-3017
Phone (424) 279-9481

National Provider Directory

National Provider Directory

Locations

1524 McHenry Ave
Ste 240
Modesto, CA 95350
Phone (209) 576-2900

NPI Registry JSON

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

{
    "created_epoch": "1394755200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394755200000",
    "number": "1427474394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9461 CHARLEVILLE BLVD",
            "address_2": "SUITE 482",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123017",
            "telephone_number": "424-279-9481",
            "fax_number": "424-279-9482"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1524 MCHENRY AVE",
            "address_2": "SUITE 240",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953504500",
            "telephone_number": "209-408-8017",
            "fax_number": "209-408-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SYLVAN SURGICAL CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-14",
        "last_updated": "2014-03-14",
        "status": "A",
        "authorized_official_last_name": "JAROSCAK",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "424-279-9481",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 14, 2014; 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.