Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Coffee Road Surgery Center, LLC

Ambulatory Surgical Clinic/Center in Modesto, CA · enumerated 2024 · authorized official Eric Boon, Officer/Ao.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1134947328

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Coffee Road Surgery Center, LLC

Practice address 1335 Coffee Rd Ste 201, Modesto, CA, 95355

Phone (209) 492-0483

Enumeration date Sep 27, 2024

Last updated in NPPES May 8, 2026

Taxonomy & classification

261QA1903X Ambulatory Surgical Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Eric Boon

Title Officer/Ao

Phone (480) 567-0269

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

What type of organization is Coffee Road Surgery Center, LLC?

Coffee Road Surgery Center, LLC is registered in NPPES as a Ambulatory Surgical Clinic/Center (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-08.