STANISLAUS SURGICAL HOSPITAL LLC (NPI# 1437121886) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437121886 |
| Entity Type | Organization |
| Organization Name | STANISLAUS SURGICAL HOSPITAL LLC |
| Other Organization Name | STANISLAUS SURGICAL HOSPITAL |
| Practice Address |
1421 Oakdale Rd Modesto CA 95355-3359 |
| Practice Telephone | 2095722700 |
| Practice Fax Number | 2095720151 |
| Mailing Telephone | 2095722700 |
| Mailing Fax Number | 2095720151 |
| Enumeration Date | 2006-02-01 |
| Last Update Date | 2014-03-10 |
| Authorized Official Name | DOUGLAS V JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 2092322501 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 0300695 | CA | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | HSP30726F | 05 | |
| CA | HSP40726F | 05 |
| Other Name | Type Code |
|---|---|
| Stanislaus Surgical Hospital | Former Legal Business Name - Organization |
| Street Address |
1421 OAKDALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95355-3359 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942784517 | Raeanne Yamada | Physician Assistant | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2018-09-19 |
| 1912341710 | Norcal Radiologists Inc | Radiology | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2013-04-23 |
| 1992000343 | Stephan Robert Morey | Physician Assistant | 1421 Oakdale Rd, Modesto, CA 95355-3356 | 2011-01-17 |
| 1851474084 | Joel T. Yerby, M.d. | Anesthesiology | 1421 Oakdale Rd, Modesto, CA 95355 | 2006-10-23 |
| 1902989130 | Central California Cardiac Anesthesia | Anesthesiology | 1421 Oakdale Rd, Modesto, CA 95355 | 2006-10-23 |
| 1215020060 | Dyan J Osborne | Anesthesiology | 1421 Oakdale Rd, Stanislaus Surgical Hospital, Modesto, CA 95355 | 2006-10-02 |
| 1093808818 | Gary A Schenck Jr. | Anesthesiology | 1421 Oakdale Rd, Modesto, CA 95355 | 2006-10-02 |
| 1841383676 | John H Andrew | Anesthesiology | 1421 Oakdale Rd, Modesto, CA 95355 | 2006-10-02 |
| 1326131152 | John C Brownrigg | Anesthesiology | 1421 Oakdale Rd, Modesto, CA 95355 | 2006-10-02 |
| 1609889054 | Gary J Padovani | Anesthesiology | 1421 Oakdale Rd, Modesto, CA 95355 | 2006-08-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982211793 | I To I LLC | Optometrist | 3401 Oakdale Rd, Ste 525, Modesto, CA 95355 | 2020-09-25 |
| 1205443116 | Altwal and Shelat Dds Inc | Dentist | 1317 Oakdale Road, Suite 310, Modesto, CA 95355 | 2020-09-24 |
| 1184255911 | Reeves, D.d.s. and Lavalley, D.d.s., A Dental Corporation | Clinic/Center | 3401 Oakdale Road, Suite 505, Modesto, CA 95355 | 2020-01-30 |
| 1487133856 | Natalie Vargas | Behavior Technician | 1317 Oakdale Road Suite 610, Modesto, CA 95355 | 2018-08-07 |
| 1871079152 | Jill H Fusia | Dietitian, Registered | 1404 Cordero Court, Modesto, CA 95355 | 2018-07-19 |
| 1043727514 | Emily Lauren Schaefer | Behavioral Analyst | 3425 Coffee Rd Ste C2, Modesto, CA 95355 | 2018-01-05 |
| 1376083691 | Hari Gnanasekeram, PC | Technician, Cardiology | 1303 Mable Avenu, Modesto, CA 95355 | 2017-03-06 |
| 1598139891 | Encompass Health Rehabilitation Hospital of Modesto, LLC | Rehabilitation Hospital | 1303 Mable Avenue, Modesto, CA 95355 | 2015-11-24 |
| 1013387844 | Diana Faith Kigenyi | Social Worker | 1225 Oakdale Road, Modesto, CA 95355 | 2015-10-06 |
| 1437530672 | Tzu Yi Wei | Acupuncturist | 2209 Coffee Road, Suite A, Modesto, CA 95355 | 2015-06-12 |
| Find all providers in zip 95355 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164768982 | O & D Surgical and Medical Solutions Inc. | General Acute Care Hospital | 140 East Grager Avenue, Suite B, Modesto, CA 95350-4347 | 2012-12-26 |
| 1891046892 | Doctors Medical Center | General Acute Care Hospital | 3032 Montgomery Ln, Modesto, CA 95355-7997 | 2012-10-01 |
| 1962710954 | Tammy Elkins, Phd | General Acute Care Hospital | 802 14th St Ste G, Modesto, CA 95354-1029 | 2010-09-23 |
| 1386775021 | Jacqueline Parker | General Acute Care Hospital | 405 Ramsey Dr, Modesto, CA 95356-1778 | 2007-03-07 |
| 1245368653 | A.whitebread Rnfa | General Acute Care Hospital | 1702 Sandalwood Dr, Modesto, CA 95350-3819 | 2007-02-28 |
| 1760532758 | Employee Assistance Program | General Acute Care Hospital | 1316 Celeste Dr, 220, Modesto, CA 95355-2434 | 2007-01-11 |
| 1699129601 | Sutter Valley Hospitals | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2016-04-15 |
| 1346621349 | Sutter Health | General Acute Care Hospital | 1700 Coffee Rd, Modesto, CA 95355-2803 | 2015-06-16 |
| 1659712586 | Hospitalists of Modesto Medical Group | General Acute Care Hospital | 1441 Florida Ave, Hospitalists of Modesto Medical Group, Modesto, CA 95350-4404 | 2013-07-08 |
| 1356687735 | Central Valley Perfusion, Inc | General Acute Care Hospital | 1441 Florida Ave, Modesto, CA 95350-4404 | 2012-12-12 |
| 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.