1. Home
  2. Directory
  3. California
  4. Modesto
  5. Clinic Center
  6. NPI Profile

VALLEY SURGERY CENTER AT MODESTO, LLC
NPI 1235106782
Clinic/Center - Ambulatory Surgical in Modesto, CA

Active since March 03, 2006CLIA 05D1024068 · Waiver
1300 MABLE AVE, SUITE 1, MODESTO, CA 95355(209) 571-1633(206) 491-0772 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 20, 2025, Nov 13, 2018 (2 updates tracked since 2018).

About Valley Surgery Center At Modesto, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

VALLEY SURGERY CENTER AT MODESTO, LLC (NPI 1235106782), doing business as Valley Surgery Center, Lp, is a healthcare organization registered as an ambulatory surgical in Modesto, California and active in the NPI registry since March 2006. The organization holds a CLIA Waiver certificate valid through March 31, 2028 and lists Eric Boon, Officer/authorized Official, as its authorized official.

NPPES Registry Identity

NPI1235106782
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameVALLEY SURGERY CENTER AT MODESTO, LLC
Location Address1300 MABLE AVE, SUITE 1Modesto, CA 95355-1120
Mailing Address1300 Mable Ave Ste 1Modesto, CA 95355-1120 · (209) 571-1633 · Fax (209) 491-0772
Phone(209) 571-1633
Fax(206) 491-0772
Organization SubpartNo
Authorized OfficialEric BoonOfficer/authorized Official · (480) 567-0269
Enumeration DateMarch 3, 2006
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1235106782 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1300 MABLE AVE, Modesto, CA 95355
Open in Google Maps ↗

Other Names 1

Former Legal Business NameValley Surgery Center, Lp

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1024068

Valley Surgery Center · Modesto, CA
Active · expires Mar 31, 2028
CLIA Number05D1024068
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateApril 1, 2026
Certificate Expiration DateMarch 31, 2028
Laboratory DirectorBrian A. Lenser
Laboratory Phone(209) 571-1633
Laboratory LocationValley Surgery Center1300 Mable Ave Suite 1, Modesto, CA 95355
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of cataract with insertion of prosthetic lens 66984
This is a procedure where a cloudy lens in your eye, known as a cataract, is removed. After removal, a clear artificial lens is inserted. This helps to restore your vision, enabling you to see clearly again.
563 services343 patients
Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint 64635
This procedure involves using imaging guidance to accurately target and destroy nerves in the lower or sacral spinal facet joint. It's done to relieve chronic back pain. The process is safe and usually effective.
180 services95 patients
Injection of lower or sacral spine facet joint using imaging guidance, single level 64493
This procedure involves injecting medication into the facet joint in your lower back or sacral spine. It's done under imaging guidance to ensure accuracy. The aim is to alleviate pain and inflammation. It's a safe, often effective method for managing spinal discomfort.
169 services58 patients
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level 64483
This procedure involves injecting a mix of numbing and anti-inflammatory medication into a specific nerve root in the lower back. It helps manage pain and reduce inflammation. The process is guided by imaging technology for precision.
72 services40 patients
Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other therapeutic agent, with or without arthrography G0260
This procedure involves injecting medicine into the sacroiliac joint, located in the lower back. The aim is to reduce inflammation and pain. Anesthetic is used for immediate pain relief, while a steroid helps decrease inflammation over time. Arthrography, a type of imaging, may be used for precision.
68 services33 patients
Injection of upper or middle spine facet joint using imaging guidance, single level 64490
This procedure involves injecting medication into a joint in your upper or middle spine. It's performed under imaging guidance for precision. The aim is to reduce inflammation and pain. It's a single-level process, meaning one joint is treated at a time.
49 services24 patients

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CENTRAL VALLEY PAIN MANAGEMENT & WELLNESS INC.
Neuromusculoskeletal Medicine, Sports Medicine
1300 MABLE AVE, SUITE 2
MODESTO, CA 95355
Stanislaus County (209) 571-1992
CENTRAL VALLEY PAIN MANAGEMENT & WELLNESS INC.
Neuromusculoskeletal Medicine, Sports Medicine
1300 MABLE AVE, SUITE 2
MODESTO, CA 95355
Stanislaus County (209) 571-1992
MRS. RUTH ETHEL PFLUEGER NP, PA
Nurse Practitioner
1300 MABLE AVE
MODESTO, CA 95355
Stanislaus County (209) 571-1992
MRS. KRISTINE ANN LINDSTROM PA
Physician Assistant (Medical)
1300 MABLE AVE, STE 2
MODESTO, CA 95355
Stanislaus County (209) 571-1992
PATRICK NEAL RHOADES M.D.
Physical Medicine & Rehabilitation (Pain Medicine)
1300 MABLE AVE, SUITE 2
MODESTO, CA 95355
Stanislaus County (209) 571-1992

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Valley Surgery Center At Modesto, LLC's NPI number?

The NPI number for Valley Surgery Center At Modesto, LLC is 1235106782. It was assigned to this organization in the NPPES registry on March 3, 2006. The provider was formerly known as Valley Surgery Center, LP.

Where is Valley Surgery Center At Modesto, LLC located?

Valley Surgery Center At Modesto, LLC is located at 1300 Mable Ave Suite 1, Modesto, CA 95355. The listed phone number is (209) 571-1633.

What is Valley Surgery Center At Modesto, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Valley Surgery Center At Modesto, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1024068) is associated with this NPI, valid through March 31, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Valley Surgery Center At Modesto, LLC was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.