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SYLVAN SURGERY CENTER INC. NPI 1801822739


NPI Information

NPI: 1801822739
Provider Name: SYLVAN SURGERY CENTER, INC.
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 05D1051884

Address:
2336 SYLVAN AVE
SUITE B
MODESTO, CA
ZIP 95355
Phone: (209) 338-0393
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SYLVAN SURGERY CENTER, INC. is an ambulatory surgical clinic center in Modesto, CA. SYLVAN SURGERY CENTER, INC. NPI is 1801822739. The provider is registered as an organization entity type.

The provider's business location address is:

2336 SYLVAN AVE
SUITE B
MODESTO, CA
ZIP 95355-211
Phone: (209) 338-0393
Fax: (209) 338-0398

The provider's authorized official is Magdy Elsakr .
The authorized official title is Medical Director and has the following contact phone number (209) 338-0393.

The CLIA number assigned to this NPI record is 05D1051884 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/23/2006 and was last updated on 12/4/2015.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QA1903XClinic/CenterAmbulatory Surgical550000147CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1550000147OTHERCALIFORNIASTATE LICENSE #
2ZZZ05025ZMEDICARE PINCALIFORNIA
3SUR01780FMEDICAIDCALIFORNIA
405C0001780MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIAMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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