SYLVAN SURGICAL CENTER, LLC (NPI# 1427474394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1427474394 |
Entity Type | Organization |
Organization Name | SYLVAN SURGICAL CENTER, LLC |
Practice Address |
1524 Mchenry Ave Suite 240 Modesto CA 95350-4500 |
Mailing Address |
9461 Charleville Blvd Suite 482 Beverly Hills CA 90212-3017 |
Practice Telephone | 2094088017 |
Practice Fax Number | 2094088437 |
Mailing Telephone | 4242799481 |
Mailing Fax Number | 4242799482 |
Enumeration Date | 2014-03-14 |
Last Update Date | 2014-03-14 |
Authorized Official Name | MS. MAUREEN JAROSCAK (CHIEF FINANCIAL OFFICER) |
Authorized Official Telephone | 4242799481 |
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 SUITE 240 |
City | MODESTO |
State | CA |
Zip Code | 95350-4500 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689661811 | Christine G Tazewell | Internal Medicine | 1524 Mchenry Ave, Suite 310, Modesto, CA 95350-4500 | 2005-10-03 |
1710488101 | Modesto Pain Diagnostic Treatment Center | Pain Medicine | 1524 Mchenry Ave, Suite 505, Modesto, CA 95350 | 2018-02-22 |
1346773819 | Tzu-yi Wang | Nurse Practitioner | 1524 Mchenry Ave, Modesto, CA 95350-4500 | 2017-04-11 |
1972036614 | Doctor James E Barnett Md Inc | Pain Medicine | 1524 Mchenry Ave, Suite 500, Modesto, CA 95350-4500 | 2017-04-10 |
1467907931 | U.S. Healthworks Medical Group, PC | Preventive Medicine | 1524 Mchenry Ave, Suite 135, Modesto, CA 95350-4500 | 2016-08-24 |
1952755175 | Robert E Caton Md | Specialist | 1524 Mchenry Ave, Suite 515, Modesto, CA 95350-4500 | 2016-04-14 |
1144698481 | Sargon Bebla Md Inc | Obstetrics & Gynecology | 1524 Mchenry Ave, Suite 370, Modesto, CA 95350-4500 | 2015-09-03 |
1437555265 | Valley Children's Medical Group | Pediatrics | 1524 Mchenry Ave, Suite 550, Modesto, CA 95350-4500 | 2014-11-05 |
1780015685 | Richard Kendrick | Radiology | 1524 Mchenry Ave, Suite 235, Modesto, CA 95350-4500 | 2013-12-03 |
1487920096 | Davida M Dominguez | Social Worker | 1524 Mchenry Ave, Modesto, CA 95350-4500 | 2012-03-28 |
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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 |
1376893784 | San Joaquin Valley Surgery Center | Clinic/Center | 1524 Mchenry Ave Ste 240, Modesto, CA 95350-4566 | 2012-09-12 |
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 |
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 |
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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.