Modesto Specialty Surgery Center, PC
NPI 1265859573 · Ambulatory Surgical Clinic/Center · Modesto, CA
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Modesto Specialty Surgery Center, PC is a Ambulatory Surgical Clinic/Center organization in Modesto, CA (NPI 1265859573).
Provider details
- NPI number
- 1265859573
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Daniel Taheri, Owner(310) 922-1412
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
12 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
561 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Complicated Repair of Wound of Scalp, Arms, Or Legs, 2.6-7.5 Cm13121 | 77 | $343 |
| Complicated Repair of Wound of Forehead, Cheeks, Chin, Mouth, Neck, Underarms, Genitals, Hands, Or Feet, 2.6-7.5 Cm13132 | 67 | $359 |
| Intermediate Repair of Wound of Scalp, Underarms, Trunk, Arms, Or Legs, 2.6-7.5 Cm12032 | 64 | $195 |
| Intermediate Repair of Wound of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.5 Cm Or Less12051 | 38 | $221 |
| Removal of Cancer Skin Growth of Body, Arms, Or Legs, 0.6-1.0 Cm11601 | 36 | $87 |
| Intermediate Repair of Wound of Face, Ears, Eyelids, Nose, Lips, Or Mouth, 2.6-5.0 Cm12052 | 36 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-03-25
- Last updated
- 2026-03-12
- Certified
- 2026-03-12
Frequently asked questions
- What is Modesto Specialty Surgery Center, PC's NPI number?
- Modesto Specialty Surgery Center, PC's National Provider Identifier (NPI) is 1265859573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Modesto Specialty Surgery Center, PC?
- Modesto Specialty Surgery Center, PC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Modesto Specialty Surgery Center, PC located?
- Modesto Specialty Surgery Center, PC's practice location on file with NPPES is 3105 Mchenry Ave # 102, Modesto, CA 95350-1439.
- What is Modesto Specialty Surgery Center, PC's phone number?
- The practice phone number listed in the NPPES registry for Modesto Specialty Surgery Center, PC is (800) 991-6448.
- Does Modesto Specialty Surgery Center, PC accept Medicare?
- Modesto Specialty Surgery Center, PC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Modesto Specialty Surgery Center, PC?
- The authorized official listed on Modesto Specialty Surgery Center, PC's NPPES record is Daniel Taheri, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Modesto Specialty Surgery Center, PC's NPI active?
- Yes — Modesto Specialty Surgery Center, PC's NPI (1265859573) is active in the NPPES registry as of the last update on 2026-03-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.