Modesto Surgical Associates
Modesto Surgical Associates is a healthcare organization registered as Surgery Physician in Modesto, CA, holding Type 2 (organization) NPI 1326067208 since 2006. The authorized official on file is Carrie Payne, Supervisor.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1326067208 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Modesto Surgical Associates |
| Practice address | 1401 SPANOS CT, 127, Modesto, CA, 95355 |
| Phone | 2095253848 |
| Fax | 2095253886 |
| Enumeration date | 2006-07-19 |
| Last updated in NPPES | 2008-01-11 |
Authorized official
| Name | Carrie Payne |
|---|---|
| Title | Supervisor |
| Phone | 2095253835 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 2086S0102X | Surgical Critical Care Physician | Secondary | — | — |
| 2086S0127X | Trauma Surgery Physician | Secondary | — | — |
| 2086S0129X | Vascular Surgery Physician | Secondary | — | — |
| 208C00000X | Colon & Rectal Surgery Physician | Secondary | — | — |
| 208600000X | Surgery Physician | Primary | — | — |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| GR0076520 | Medicaid | CA | — |
Copy-ready billing details
Provider: Modesto Surgical Associates NPI: 1326067208 Taxonomy: 208600000X (Surgery Physician) Address: 1401 SPANOS CT, 127, Modesto, CA, 95355
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1124020102 | H Rand Tolboe | Individual | Foot & Ankle Surgery Podiatrist | Modesto, CA |
| 1013902113 | Ron Jennison | Organization | Pharmacist | Modesto, CA |
| 1063403376 | Kevin Bixel | Individual | Physician Assistant | Modesto, CA |
| 1962464602 | Edward Auen | Individual | Internal Medicine Physician | Modesto, CA |
| 1558327866 | Maged Yacoub | Individual | Family Medicine Physician | Modesto, CA |
| 1083669170 | Alexander Davis | Individual | Orthopaedic Surgery Physician | Modesto, CA |
| 1730136011 | Ronald Weakley | Individual | Obstetrics & Gynecology Physician | Modesto, CA |
| 1780624619 | Yahya Talieh | Individual | Specialist | Modesto, CA |
Verify this record
Cross-check NPI 1326067208 against the authoritative CMS record: view Modesto Surgical Associates on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Modesto Surgical Associates?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-01-11.