Surgical Associates Inc
NPI 1366824161ActiveOrganization· Surgery, Trauma Surgery· Modesto, CA
Surgery, Trauma Surgery in Modesto, California, registered in NPPES in June 2015. The authorized official on file is Tony Tam, M.D., Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366824161 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 29, 2015 |
| Last updated in NPPES | May 11, 2020 |
| Certified by provider | May 11, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery, Trauma Surgery Primary | 2086S0127X | — | — |
| Surgery | 208600000X | — | — |
| Surgery, Surgical Critical Care | 2086S0102X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (CA) |
|---|
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