PHYSICIANS SURGERY CENTER OF MODESTO LLC
NPI 1538280284
Clinic/Center - Ambulatory Surgical in Modesto, CA

Q: What is Physicians Surgery Center Of Modesto LLC's specialty?

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

Active since April 02, 2007CLIA 05D1066895 · Waiver

609 E ORANGEBURG AVE # B, MODESTO, CA 95350(209) 527-6700 Get Directions Write a Review

NPPES record last updated: November 19, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 19, 2025, Jun 21, 2018 (2 updates tracked since 2018).

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About Physicians Surgery Center Of Modesto Llc NPPES

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

PHYSICIANS SURGERY CENTER OF MODESTO LLC (NPI 1538280284), doing business as River Surgical Institute, is a healthcare organization registered as an ambulatory surgical in Modesto, California and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through April 4, 2027 and lists Eric Boon, Market President, as its authorized official.

NPPES Registry Identity

NPI1538280284

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePHYSICIANS SURGERY CENTER OF MODESTO LLC

Location Address609 E ORANGEBURG AVE # BModesto, CA 95350-5580

Mailing Address609 E Orangeburg Ave Bldg BModesto, CA 95350-5512 · (209) 527-6700

Phone(209) 527-6700

Organization SubpartNo

Authorized OfficialEric BoonMarket President · (480) 567-0269

Enumeration DateApril 2, 2007

Last NPPES UpdateNovember 19, 20252 updates tracked since enumeration

NPPES CertifiedNovember 19, 2025

✔ NPI 1538280284 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in CA · 0557938

609 E ORANGEBURG AVE # B, Modesto, CA 95350

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Other Names 1

Doing Business AsRiver Surgical Institute

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 05D1066895

Physicians Surgery Center Of Modesto Dba River Surgical Institute · Modesto, CA

Active · expires Apr 4, 2027

CLIA Number05D1066895

Laboratory TypeAmbulatory Surgery Center

Certificate Effective DateApril 5, 2025

Certificate Expiration DateApril 4, 2027

Laboratory DirectorWilliam L. Pistel, Do

Laboratory Phone(209) 527-6700

Laboratory LocationPhysicians Surgery Center Of Modesto Dba River Surgical Institute609 E Orangeburg Ave Bldg B, Modesto, CA 95350

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 2

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.

Replacement of knee joint, both sides of knee 27447

A bilateral knee joint replacement is a procedure where the damaged parts of both your knee joints are replaced with artificial parts. It aims to relieve pain and improve mobility. The process involves a surgical operation under anesthesia.

38 services37 patients

Release and/or relocation of hand nerve 64721

This procedure involves adjusting or moving a nerve in your hand to alleviate discomfort or improve function. The nerve may be compressed, causing pain or numbness. By releasing or relocating the nerve, these symptoms can be reduced, enhancing hand usage.

23 services21 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 Physicians Surgery Center Of Modesto LLC's NPI number?

The NPI number for Physicians Surgery Center Of Modesto LLC is 1538280284. It was assigned to this organization in the NPPES registry on April 2, 2007. The provider is doing business as River Surgical Institute.

Where is Physicians Surgery Center Of Modesto LLC located?

Physicians Surgery Center Of Modesto LLC is located at 609 E Orangeburg Ave # B, Modesto, CA 95350. The listed phone number is (209) 527-6700.

What is Physicians Surgery Center Of Modesto LLC's specialty?

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

Does Physicians Surgery Center Of Modesto LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D1066895) is associated with this NPI, valid through April 4, 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 Physicians Surgery Center Of Modesto LLC was last updated on November 19, 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.