Organization Active NPI

Jhsurgical Professional Corporation

  • Surgery Physician
  • Modesto, CA
National Provider Identifier
1912884123
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
JHSURGICAL PROFESSIONAL CORPORATION
Practice address
1701 Coffee Rd Ste 1
Modesto, CA 95355-2817
Phone
(209) 522-7128
NPI assigned
Aug 19, 2025
Last updated
Oct 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Authorized official

Name
Jihan Hegazy, MDNPI 1467492256
Title
Ceo
Phone
(917) 428-0151

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X Primary

Addresses

Primary practice location

1701 Coffee Rd Ste 1
Modesto, CA 95355-2817

Mailing address

3848 McHenry Ave
Ste 135 #283
Modesto, CA 95356

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251010000589 CA Part B Supplier - Clinic/Group Practice 5597262956 Receives reassigned benefits from 1 practitioner
Practice locations: Modesto, CA

National Provider Directory

National Provider Directory

Locations

3848 McHenry Ave
Ste 135283
Modesto, CA 95356

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1755561600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1760400000000",
    "number": "1912884123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3848 MCHENRY AVE",
            "address_2": "STE 135 #283",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "95356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 COFFEE RD STE 1",
            "city": "MODESTO",
            "state": "CA",
            "postal_code": "953552817",
            "telephone_number": "209-522-7128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JHSURGICAL PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-19",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A",
        "authorized_official_last_name": "HEGAZY",
        "authorized_official_first_name": "JIHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-428-0151",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "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 Oct 14, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.