Modesto Surgical Associates

LBN: Modesto Surgical Associates
Modesto Surgical Associates is an health care organization with primary practice located at 1401 Spanos Ct 127, Modesto CA 95355-2810. The organization recently has 5 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care, Allopathic & Osteopathic Physicians / Trauma Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Surgery is the primary health care specialty. Modesto Surgical Associates can be contacted via phone (209) 525-3848, or through Payne, Carrie via phone (209) 525-3835.

Contact Information

Primary practice address
1401 Spanos Ct 127 Modesto CA 95355-2810
Phone: (209) 525-3848
Fax: (209) 525-3886
Website:
Map and Directions
Authorized official contact:
Name: Payne, Carrie
Phone: (209) 525-3835

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X
Allopathic & Osteopathic Physicians / Surgical Critical Care 2086S0102X
Allopathic & Osteopathic Physicians / Trauma Surgery 2086S0127X
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X

Profile Details

NPI number 1326067208
LBN Legal business name Modesto Surgical Associates
DBA Doing business as
Authorized official Payne, Carrie
Entity Organization
Organization subpart 1 No
Enumeration date Jul 19th, 2006
Last updated Jan 11th, 2008 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326067208 NPPES
California MEDICAID GR0076520

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