SUMMIT SURGERY CENTER MODESTO, INC NPI 1619525912

Clinic/Center (Ambulatory Surgical) in Modesto, CA

Organization Clinic/Center Ambulatory Surgical

About SUMMIT SURGERY CENTER MODESTO, INC

Summit Surgery Center Modesto, Inc is a provider established in Modesto, California specializing in clinic/center (ambulatory surgical) . The NPI number of Summit Surgery Center Modesto, Inc is 1619525912 and was assigned on August 2019. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Rajesh Kumar Dubey Md (Managing Partner)

NPI

1619525912

Provider NameSUMMIT SURGERY CENTER MODESTO, INC
Provider Location Address654 LYELL DR MODESTO, CA 95356
Provider Mailing Address3621 FOREST GLENN DR MODESTO, CA 95355
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date08-29-2019
Last Update Date02-28-2020

Primary Taxonomy

Taxonomy Code261QA1903X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationAmbulatory Surgical

Business Address

SUMMIT SURGERY CENTER MODESTO, INC
654 LYELL DR
MODESTO, CA
ZIP 95356
Phone: (209) 521-9661
Fax: (209) 521-2640

Get Directions

Mailing Address

SUMMIT SURGERY CENTER MODESTO, INC
3621 FOREST GLENN DR
MODESTO, CA
ZIP 95355
Phone: (209) 521-9661
Fax: (209) 521-2640

Authorized Official

Authorized Official NameDR. RAJESH KUMAR DUBEY MD
Authorized Official TitleMANAGING PARTNER
Authorized Official Phone(209) 918-5181

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.