Active NPI
Sylvan Surgery Center, LLC
- Ambulatory Surgical Clinic/Center
- Modesto, CA
National Provider Identifier
1801822739
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 550000147
- Legal business name
- SYLVAN SURGERY CENTER, LLC
- Practice address
- 2336 Sylvan Ave
Suite B
Modesto, CA 95355-9211 - Phone
- (209) 338-0393
- Fax
- (209) 338-0398
- NPI assigned
- Jun 23, 2006
- 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
- Eric Boon
- Title
- Market President
- Phone
- (408) 567-0269
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 550000147 | CA | Primary |
Addresses
Primary practice location
2336 Sylvan Ave
Suite B
Modesto, CA 95355-9211
Mailing address
2336 Sylvan Ave Ste B
Modesto, CA 95355-9211
Phone (209) 338-0393
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| SUR01780F | Medicaid | CA | |
| 550000147 | Other | CA | STATE LICENSE # |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service | Other | Ability Network |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20070327000360 | CA | Part B Supplier - Ambulatory Surgical Center | 4183728421 | Practice locations: Modesto, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Sylvan Surgery Center Inc
- Medicare certification status
- Active
National Provider Directory
National Provider DirectoryLocations
2336 Sylvan Ave
Ste B
Modesto, CA 95355
Phone (209) 228-0393
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Specialist
- Modesto, CA
- NPI 1184676785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151020800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1769731200000",
"number": "1801822739",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2336 SYLVAN AVE STE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559211",
"telephone_number": "209-338-0393",
"fax_number": "209-338-0398"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2336 SYLVAN AVE",
"address_2": "SUITE B",
"city": "MODESTO",
"state": "CA",
"postal_code": "953559211",
"telephone_number": "209-338-0393",
"fax_number": "209-338-0398"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYLVAN SURGERY CENTER, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-06-23",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A",
"authorized_official_last_name": "BOON",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "MARKET PRESIDENT",
"authorized_official_telephone_number": "408-567-0269"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "550000147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "SUR01780F",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE #",
"identifier": "550000147",
"state": "CA"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.abilitynetwork.com:8291/gateway/documentsubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.667.2",
"affiliationName": "Ability Network",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "64 S Price Rd Ste B",
"city": "Brownsville",
"state": "TX",
"country_code": "US",
"postal_code": "785212459",
"country_name": "United States",
"address_type": "DOM"
}
],
"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 Jan 30, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.