SAN JOAQUIN VALLEY SURGERY CENTER (NPI# 1376893784) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376893784 |
| Entity Type | Organization |
| Organization Name | SAN JOAQUIN VALLEY SURGERY CENTER |
| Practice Address |
1524 Mchenry Ave Ste 240 Modesto CA 95350-4566 |
| Mailing Address |
269 S Beverly Dr Ste 353 Beverly Hills CA 90212-3851 |
| Practice Telephone | 8889429997 |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2012-09-12 |
| Authorized Official Name | MS. MONICA PORTER (ASSISTANT MANAGER) |
| Authorized Official Telephone | 8889429997 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Street Address |
1524 MCHENRY AVE STE 240 |
| City | MODESTO |
| State | CA |
| Zip Code | 95350-4566 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164020459 | Karina Montes Rodriguez | Case Manager/Care Coordinator | Cip 1540 Florida Ave, Suite 212, Modesto, CA 95350 | 2020-10-09 |
| 1134737315 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 2057 Tully Road, Suite A, Modesto, CA 95350 | 2020-07-14 |
| 1588211254 | Karla Junuen Toscano | Licensed Vocational Nurse | 1235 Mchenry Ave. Suites A&b, Modesto, CA 95350 | 2019-08-19 |
| 1831694769 | Loretta Myers-weber | Nurse Practitioner | 1510 Florida Ave Ste A, Modesto, CA 95350 | 2018-03-23 |
| 1720599632 | Coral Alejandra Amador | Counselor | 1700 Mchenry Village Way, Suite 11b, Modesto, CA 95350 | 2017-10-18 |
| 1053820522 | Pannu and Henne Dental Corp. | Dentist | 3219 Mc Henry Ave, Suite E, Modesto, CA 95350 | 2017-09-27 |
| 1346779709 | Kevin Sotelo | Behavior Technician | 2630 W Rumble Road, Modesto, CA 95350 | 2017-06-08 |
| 1255869566 | Hoa Xuan Phan | Family Medicine | 1441 Florida Ave Ste 200, Modesto, CA 95350 | 2017-05-31 |
| 1356881163 | Brady S Marshall | Dentist | 201 E. Orangeburg Avenue, Suite C, Modesto, CA 95350 | 2017-02-27 |
| 1750755476 | Caremore Health Plan | Nurse Practitioner | 1234 Mchenry Avenue, Modesto, CA 95350 | 2015-11-18 |
| Find all providers in zip 95350 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619525912 | Summit Surgery Center Modesto, Inc | Clinic/Center | 654 Lyell Dr, Modesto, CA 95356-8997 | 2019-08-29 |
| 1255529756 | Christopher F Amsden Medical Corporation | Clinic/Center | 1524 Mchenry Ave Ste 465, Modesto, CA 95350-4574 | 2007-10-09 |
| 1356463913 | Modesto Surgery Center Inc | Clinic/Center | 400 E Orangeburg Ave Ste 1, Modesto, CA 95350-5342 | 2007-04-04 |
| 1538280284 | Physicians Surgery Center of Modesto Inc | Clinic/Center | 609 E Orangeburg Ave # B, Modesto, CA 95350-5580 | 2007-04-02 |
| 1235106782 | Valley Surgery Center At Modesto, LLC | Clinic/Center | 1300 Mable Ave, Suite 1, Modesto, CA 95355-1120 | 2006-03-03 |
| 1013480128 | Spine and Pain Treatment Medical Center of Santa Barbara Inc. | Clinic/Center | 1130 Coffee Rd Bldg 5, Modesto, CA 95355-4228 | 2019-01-11 |
| 1265859573 | Modesto Specialty Surgery Center, PC | Clinic/Center | 3105 Mchenry Ave, Modesto, CA 95350-1439 | 2014-03-25 |
| 1427474394 | Sylvan Surgical Center, LLC | Clinic/Center | 1524 Mchenry Ave, Suite 240, Modesto, CA 95350-4500 | 2014-03-14 |
| 1659542561 | Christopher F Amsden Md | Clinic/Center | 1524 Mchenry Ave Ste 470, Modesto, CA 95350-4572 | 2008-03-19 |
| 1174622146 | American Dental Surgery Centers, Inc. | Clinic/Center | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-09-22 |
| Find all providers in MODESTO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.