Stanislaus Surgical Hospital LLC

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

0300695 Issued in CA

Legal business name

STANISLAUS SURGICAL HOSPITAL LLC

Practice address

1421 Oakdale Rd
Modesto, CA 95355-3359

Phone

(209) 572-2700

Fax

(209) 572-0151

NPI assigned

Feb 1, 2006

Organization subpart

No

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

Authorized official

Name

Kristine Kassahn, MBA, BSN, RN, PHN

Title

Chief Executive Officer

Phone

(209) 232-2500

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Stanislaus Surgical Hospital Former legal business name

Listed as

Stanislaus Surgical HospitalCCN 050726

Type

Acute Care Hospitals

Ownership

Voluntary non-profit - Private

Medicare certification status

ActiveFrom the Provider of Services file

Emergency services

No

Member of 2

Organizations this organization is a member of, according to the National Provider Directory.

• Sutter Valley Hospitals

  dba Memorial Hospital Los Banos

  • General Acute Care Hospital
  • Los Banos, CA
  • NPI 1366896300

  Member Of

  NPD member
• Sutter Valley Medical Foundation

  dba Stockton Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Stockton, CA
  • NPI 1467825844

  Member Of

  NPD member

Locations

Interoperability endpoints

• FHIR API: https://fhir-usa.unify.chbase.com/org/stanish-82a0e7a0

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1437121886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1421 OAKDALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553359",
            "telephone_number": "209-572-2700",
            "fax_number": "209-572-0151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1421 OAKDALE RD",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953553359",
            "telephone_number": "209-572-2700",
            "fax_number": "209-572-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANISLAUS SURGICAL HOSPITAL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-02-01",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "KASSAHN",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "209-232-2500",
        "authorized_official_credential": "MBA, BSN, RN, PHN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "CA",
            "license": "0300695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP40726F",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "HSP30726F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Stanislaus Surgical Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Stanislaus Surgical Hospital",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stanislaus Health and Wellness Inc (209 Urgent Care)
• Stanislaus Optometric Center, Inc.
• Stanislaus Orthopaedic and Sports Medicine Clinic
• Stanislaus Orthopaedics Sports Medicine Clinic
• Stanislaus Subacute Rehab LLC
• Stanislaus Union School District
• Stanislaus Vision Associates Optometric Group Inc
• Christle Chenille Stanton, FNP-BC
• James Lewis Stanton, M.D.
• Jonathon Robert Staples, MD

• General Acute Care Hospital in Modesto, CA
• Providers in Modesto, CA by specialty
• General Acute Care Hospital in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.