SURGICAL ASSOCIATES INC
NPI 1366824161
Surgery - Trauma Surgery in Modesto, CA

Q: What is Surgical Associates Inc's NPI number?

The NPI number for Surgical Associates Inc is 1366824161. It was assigned to this organization in the NPPES registry on June 29, 2015.

Q: What is Surgical Associates Inc's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Trauma Surgery, with taxonomy code 2086S0127X.

Active since June 29, 2015

1700 COFFEE RD, MODESTO, CA 95355(209) 661-4403(209) 579-5637 Get Directions Write a Review

NPPES record last updated: May 11, 2020. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: May 11, 2020, Mar 10, 2020, Nov 20, 2019 (3 updates tracked since 2019).

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About Surgical Associates Inc NPPES

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

SURGICAL ASSOCIATES INC (NPI 1366824161) is a healthcare organization registered as a trauma surgery in Modesto, California and active in the NPI registry since June 2015. The organization lists Tony Tam, Owner, as its authorized official.

NPPES Registry Identity

NPI1366824161

Entity TypeOrganization

Primary Taxonomy2086S0127X

Legal Business NameSURGICAL ASSOCIATES INC

Location Address1700 COFFEE RDModesto, CA 95355-2803

Mailing Address220 Standiford Ave Ste FModesto, CA 95350-1159 · (209) 579-5628 · Fax (209) 579-5637

Phone(209) 661-4403

Fax(209) 579-5637

Organization SubpartNo

Authorized OfficialTony TamOwner · (209) 661-4403

Enumeration DateJune 29, 2015

Last NPPES UpdateMay 11, 20203 updates tracked since enumeration

NPPES CertifiedMay 11, 2020

✔ NPI 1366824161 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySurgery · Trauma SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code2086S0127X

Definition

Trauma surgery is a recognized subspecialty of general surgery. Trauma surgeons are physicians who have completed a five-year general surgery residency and usually continue with a one to two year fellowship in trauma and/or surgical critical care, typically leading to additional board certification in surgical critical care. There is no trauma surgery board certification at this point. To obtain board certification in surgical critical care, a fellowship in surgical critical care or anesthesiology critical care must be completed during or after general surgery residency.

Also ListedSurgeryTaxonomy 208600000X

Also ListedSurgery · Surgical Critical CareTaxonomy 2086S0102X

1700 COFFEE RD, Modesto, CA 95355

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Surgical Associates Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 34 clinicians reassign Medicare billing to Surgical Associates Inc, which bills Medicare for the services they deliver. Of these, 8 practice at this address and 17 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 2

Nurse Practitioner18

General Surgery16

Nearest to this location (20)

See all 34

Bethanie Hakanson, NP

Nurse Practitioner

NPI 1598366577

1700 COFFEE RD
Modesto, CA 95355

(209) 202-6601