VALLEY SURGERY CENTER AT MODESTO, LLC – NPI #1235106782
Clinic/Center

VALLEY SURGERY CENTER AT MODESTO, LLC is an AHC clinic located in MODESTO, CA. NPPES has assigned the NPI number 1235106782 to VALLEY SURGERY CENTER AT MODESTO, LLC on March 03, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Nov 20, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VALLEY SURGERY CENTER AT MODESTO, LLC below.

NPI Profile for
VALLEY SURGERY CENTER AT MODESTO, LLC

NPI Number
1235106782
Enumeration Date

(more than 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VALLEY SURGERY CENTER AT MODESTO, LLC
Primary location
1300 MABLE AVE
SUITE 1
MODESTO, CA 95355-1120
Phone: (209) 571-1633 Fax: (206) 491-0772
Mailing address
1300 MABLE AVE STE 1
MODESTO, CA 95355-1120
Phone: (209) 571-1633 Fax: (209) 491-0772
Organization Subpart
No
Authorized Official
ERIC BOON
OFFICER/AUTHORIZED OFFICIAL
Phone: (480) 567-0269
Updated
Certification Date
Nov 20, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.