MODESTO SPECIALTY SURGERY CENTER, PC
NPI 1265859573
Clinic/Center - Ambulatory Surgical in Modesto, CA

Q: What is Modesto Specialty Surgery Center, PC's NPI number?

The NPI number for Modesto Specialty Surgery Center, PC is 1265859573. It was assigned to this organization in the NPPES registry on March 25, 2014.

Q: What is Modesto Specialty Surgery Center, PC's specialty?

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

Active since March 25, 2014CLIA 05D2065166 · Waiver

3105 MCHENRY AVE # 102, MODESTO, CA 95350(800) 991-6448(424) 369-9555 Get Directions Write a Review

NPPES record last updated: March 12, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 12, 2026, Aug 7, 2020, Aug 30, 2019 (3 updates tracked since 2019).

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About Modesto Specialty Surgery Center, Pc NPPES

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

MODESTO SPECIALTY SURGERY CENTER, PC (NPI 1265859573) is a healthcare organization registered as an ambulatory surgical in Modesto, California and active in the NPI registry since March 2014. The organization holds a CLIA Waiver certificate valid through August 25, 2027 and lists Daniel P Taheri, Owner, as its authorized official.

NPPES Registry Identity

NPI1265859573

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NameMODESTO SPECIALTY SURGERY CENTER, PC

Location Address3105 MCHENRY AVE # 102Modesto, CA 95350-1439

Mailing AddressPo Box 16297Beverly Hills, CA 90209-2297 · (800) 991-6448 · Fax (424) 369-9555

Phone(800) 991-6448

Fax(424) 369-9555

Organization SubpartNo

Authorized OfficialDaniel P TaheriOwner · (310) 922-1412

Enumeration DateMarch 25, 2014

Last NPPES UpdateMarch 12, 20263 updates tracked since enumeration

NPPES CertifiedMarch 12, 2026

✔ NPI 1265859573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

3105 MCHENRY AVE # 102, Modesto, CA 95350

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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 05D2065166

Modesto Specialty Surgery Center · Modesto, CA

Active · expires Aug 25, 2027

CLIA Number05D2065166

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateAugust 26, 2025

Certificate Expiration DateAugust 25, 2027

Laboratory DirectorDaniel P. Taheri

Laboratory Phone(661) 878-6511

Laboratory LocationModesto Specialty Surgery Center3105 Mchenry Ave Ste 102, Modesto, CA 95350

CLIA data matches this NPI record on: Name

This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 17

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.

Complicated repair of wound of scalp, arms, or legs, 2.6-7.5 cm 13121

This is a procedure to repair a complex wound on your scalp, arm, or leg that is 2.6-7.5 cm long. It involves cleaning, removing damaged tissue, and stitching the wound to promote healing. It's performed under local or general anesthesia.

77 services63 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 2.6-7.5 cm 13132

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size ranges from 2.6-7.5 cm. The process includes cleaning, removing damaged tissue, and stitching the wound for proper healing.

67 services61 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.6-7.5 cm 12032

This procedure involves the repair of a wound between 2.6-7.5 cm located on the scalp, underarms, trunk, arms, or legs. The process includes cleaning, debridement (removal of damaged tissue), and suturing (stitching) of the wound to promote healing.

64 services54 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.5 cm or less 12051

This procedure involves repairing a wound on your face, ears, eyelids, nose, lips, or mouth. The wound is 2.5 cm or less in size. The repair process includes cleaning, treating, and stitching the wound to promote optimal healing. It's a standard, safe procedure.

38 services37 patients

Removal of cancer skin growth of body, arms, or legs, 0.6-1.0 cm 11601

This procedure involves the surgical removal of a cancerous skin growth that measures between 0.6-1.0 cm, found on the body, arms, or legs. The goal is to eliminate cancer cells to prevent further spread. It's a common, safe, and effective treatment.

36 services27 patients

Intermediate repair of wound of face, ears, eyelids, nose, lips, or mouth, 2.6-5.0 cm 12052

This procedure involves repairing a wound on the face, ears, eyelids, nose, lips, or mouth that measures between 2.6-5.0 cm. The process includes cleaning, suturing if necessary, and dressing the wound to promote healing and prevent infection.

36 services35 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.6-7.5 cm 12042

This is a procedure to mend a moderate wound between 2.6-7.5 cm on your neck, hands, or feet. It involves cleaning the wound, removing any damaged tissue, and stitching it back together to promote healing and minimize scarring.

32 services31 patients

Complicated repair of wound of trunk, 2.6-7.5 cm 13101

This service involves the intricate repair of a wound on your body's main structure, between your neck and limbs. The wound measures 2.6-7.5 cm. The procedure includes deep-layer stitching and may involve repairing damaged tissue.

32 services29 patients

Removal of cancer skin growth of body, arms, or legs, 3.1-4.0 cm 11604

This procedure involves removing a cancerous skin growth measuring 3.1-4.0 cm on the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The wound is stitched for healing. Regular follow-ups ensure complete removal and recovery.

27 services23 patients

Removal of cancer skin growth of body, arms, or legs, 1.1-2.0 cm 11602

This procedure involves the surgical removal of a cancerous skin growth on the body, arms, or legs. The growth is between 1.1 and 2.0 cm in size. The goal is to eliminate cancer cells and prevent them from spreading to other parts of the body.

26 services25 patients

Intermediate repair of wound of scalp, underarms, trunk, arms, or legs, 2.5 cm or less 12031

This procedure involves the repair of a wound that is located on the scalp, underarms, trunk, arms, or legs and is 2.5 cm or less in size. The repair is intermediate, meaning it's more complex than a simple closure, but not as extensive as a complex repair.

24 services24 patients

Repair of wound of scalp, arms, or legs by transferring skin, 10.0 sq cm or less 14020

This procedure involves repairing a wound on your scalp, arm, or leg by transferring a small piece of skin, 10.0 sq cm or less, from a different area of your body. This skin graft helps promote healing and minimizes scarring.

22 services19 patients

Removal of cancer skin growth of body, arms, or legs, 2.1-3.0 cm 11603

This procedure involves the removal of a cancerous skin growth, between 2.1 and 3.0 cm, from the body, arms, or legs. The area is numbed, then the growth is carefully cut out. The goal is to eliminate all cancer cells while minimizing scarring.

21 services18 patients

Repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet by transferring skin, 10.0 sq cm or less 14040

This procedure involves repairing a wound on various body parts by transferring skin from another area. The transferred skin, up to 10.0 sq cm, helps to cover the wound, promoting healing and reducing scarring. It's a common method for treating larger or deeper wounds.

19 services19 patients

Complicated repair of wound of forehead, cheeks, chin, mouth, neck, underarms, genitals, hands, or feet, 1.1-2.5 cm 13131

This procedure involves the complex repair of a wound in areas like the forehead, cheeks, chin, mouth, neck, underarms, hands, or feet. The wound size is between 1.1-2.5 cm. This repair may involve multiple layers of sutures and could require reconstruction of the skin.

15 services15 patients

Repair of wound of eyelids, nose, ears, or lips by transferring skin, 10.0 sq cm or less 14060

This procedure involves repairing a wound on the eyelids, nose, ears, or lips by moving a small piece of skin (10.0 sq cm or less) from one area to another. The goal is to heal the wound and restore the function and appearance of the affected area.

14 services13 patients

Intermediate repair of wound of neck, hands, feet, or genitals, 2.5 cm or less 12041

This procedure involves the repair of a wound located on the neck, hands, or feet, measuring 2.5 cm or less. The process includes cleaning, closure, and dressing of the wound to promote healing and prevent infection. It is classified as 'intermediate' due to the complexity of the involved area.

11 services11 patients

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 Modesto Specialty Surgery Center, PC's NPI number?

The NPI number for Modesto Specialty Surgery Center, PC is 1265859573. It was assigned to this organization in the NPPES registry on March 25, 2014.

Where is Modesto Specialty Surgery Center, PC located?

Modesto Specialty Surgery Center, PC is located at 3105 Mchenry Ave # 102, Modesto, CA 95350. The listed phone number is (800) 991-6448.

What is Modesto Specialty Surgery Center, PC's specialty?

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

Does Modesto Specialty Surgery Center, PC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2065166) is associated with this NPI, valid through August 25, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Modesto Specialty Surgery Center, PC was last updated on March 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.