MODESTO SPECIALTY SURGERY CENTER PC NPI 1265859573

NPI Details

MODESTO SPECIALTY SURGERY CENTER, PC is an ambulatory surgical clinic center in Modesto, CA. MODESTO SPECIALTY SURGERY CENTER, PC NPI is 1265859573. The provider is registered as an organization entity type.

The provider's business location address is:

3105 MCHENRY AVE
MODESTO, CA
ZIP 95350-439
Phone: (800) 991-6448
Fax: (424) 369-9555

The provider's authorized official is Daniel P Taheri .
The authorized official title is Owner and has the following contact phone number (310) 922-1412.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm (HCPCS:13121)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm (HCPCS:13132)
• Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm (HCPCS:12032)
• Complicated repair of wound of trunk, 2.6-7.5 cm (HCPCS:13101)
• Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less (HCPCS:12051)
• Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11602)
• Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm (HCPCS:12052)
• Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm (HCPCS:11603)
• Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less (HCPCS:14040)
• Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm (HCPCS:11604)
• Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less (HCPCS:14060)
• Removal of noncancer skin growth of body, arms, or legs, 1.1-2.0 cm (HCPCS:11402)
• Removal of cancer skin growth of body, arms, or legs, more than 4.0 cm (HCPCS:11606)
• Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm (HCPCS:13131)

The enumeration date for this NPI number is 3/25/2014 and was last updated on 8/7/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: