GREATER MODESTO MEDICAL SURGICAL ASSOCIATES
NPI 1821355777
Ophthalmology in Manteca, CA

NPI Status: Active since April 17, 2012

Contact Information

1262 E NORTH ST
STE B
MANTECA, CA
ZIP 95336
Phone: (209) 275-1393
Fax: (209) 629-8378

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  • Organization
  • Ophthalmology
  • CLIA Number: 05D0609981
  • CLIA Cert. Type: Physician Office
  • CLIA Exp. Date: 04-22-2027

About GREATER MODESTO MEDICAL SURGICAL ASSOCIATES

This page provides the complete NPI Profile along with additional information for Greater Modesto Medical Surgical Associates, a provider established in Manteca, California operating as a Ophthalmology. The healthcare provider is registered in the NPI registry with number 1821355777 assigned on April 2012. The practitioner's primary taxonomy code is 207W00000X. The provider is registered as an organization and their NPI record was last updated 10 years ago. Greater Modesto Medical Surgical Associates operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Greater Modesto Medical Surgical Associates. The authorized official of this NPI record is Mr. Jeff Koury (Ceo)

NPI
1821355777
Provider Legal Name
FIRST CHOICE PHYSICIAN PARTNERS
Other Organization Name
GREATER MODESTO MEDICAL SURGICAL ASSOCIATES
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1262 E NORTH ST STE B MANTECA, CA 95336
Location Phone
(209) 275-1393
Location Fax
(209) 629-8378
Mailing Address
1541 FLORIDA AVE STE. 200 MODESTO, CA 95350
Mailing Phone
(209) 214-7053
Mailing Fax
(209) 629-8378
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
04-17-2012
Last Update Date
06-06-2016
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Ophthalmologists like Greater Modesto Medical Surgical Associates specialize in diagnosing and treating eye conditions. They may perform surgeries to correct vision issues or prevent vision loss due to diseases like glaucoma. Additionally, they can provide eyeglasses, prescribe contact lenses, and offer other vision-related services.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Ophthalmology

Taxonomy Code
207W00000X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEFF KOURY

Authorized Official Title
CEO
Authorized Official Phone
(714) 428-6842

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D0609981
Facility Type
Physician Office
Certificate Effective Date
April 23, 2025
Certificate Expiration Date
April 22, 2027
Laboratory Director
DR. TERRY CROASDALE
Certificate Type
Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description
This CLIA certificate is issued to Greater Modesto Medical Surgical Associates in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1821355777, we treat the final digit (7) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 63. The final step is to find the difference between that total and the next multiple of ten (70 - 63 = 7).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
2
Doubled → 4
Pos 4
1
Unchanged
Pos 5
3
Doubled → 6
Pos 6
5
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
7
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
7
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 3 → 6 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 4 + 1 + 6 + 5 + 1 + 0 + 7 + 1 + 4 + 24 = 63

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 63 is 70. The difference is the calculated check digit.

70 - 63 = 7
This NPI is valid
The calculated check digit is 7, which matches the last digit of 1821355777.

Other Providers at the Same Location


The following 11 providers are registered at the same or a nearby location.

Orthopaedic Surgery (Sports Medicine)
1262 E NORTH ST
MANTECA, CA 95336
Family Medicine
1262 E NORTH ST
MANTECA, CA 95336
Internal Medicine
1262 E NORTH ST
MANTECA, CA 95336
Internal Medicine
1262 E NORTH ST
MANTECA, CA 95336
Nurse Practitioner (Family)
1262 E NORTH ST
MANTECA, CA 95336
Nurse Practitioner (Family)
1262 E NORTH ST
MANTECA, CA 95336
Orthopaedic Surgery
1262 E NORTH ST, SUITE B
MANTECA, CA 95336
Internal Medicine
1262 E NORTH ST
MANTECA, CA 95336
Internal Medicine
1262 E NORTH ST
MANTECA, CA 95336
Obstetrics & Gynecology (Gynecology)
1262 E NORTH ST
MANTECA, CA 95336
Obstetrics & Gynecology
1262 E NORTH ST
MANTECA, CA 95336

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1821355777, enumerated as an "organization" on April 17, 2012.

The provider is located at 1262 E NORTH ST STE B MANTECA, CA 95336 and the phone number is (209) 275-1393.

Ophthalmology with taxonomy code 207W00000X.