RIVERWALK SURGERY CENTER, LLC (NPI# 1386003390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1386003390 |
Entity Type | Organization |
Organization Name | RIVERWALK SURGERY CENTER, LLC |
Other Organization Name | PRECISION SURGERY CENTER |
Practice Address |
4234 Riverwalk Pkwy Suite 140 Riverside CA 92505-8510 |
Practice Telephone | 9515099204 |
Practice Fax Number | 9515099206 |
Mailing Telephone | 9515099204 |
Mailing Fax Number | 9515099206 |
Enumeration Date | 2016-02-18 |
Last Update Date | 2016-03-10 |
Authorized Official Name | DR. JOSEPH K. KU (CHAIRMAN, GOVERNING BODY) |
Authorized Official Telephone | 9515099204 |
Authorized Official Credential | M.D. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Precision Surgery Center | Doing Business As Name - Organization |
Street Address |
4234 RIVERWALK PKWY SUITE 140 |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-8510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1427094960 | Advanced Orthopedics and Sports Medicine, A Medical Corporation | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2006-06-22 |
1437524949 | San Bernardino Medical Orthopedic Group Dba Arrowhead Orthopaedics | Physical Therapist | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2015-12-09 |
1407253446 | Riverside Regional Surgery Center Inc | Clinic/Center | 4234 Riverwalk Pkwy, Ste 160, Riverside, CA 92505-8510 | 2014-11-19 |
1801221056 | San Bernardino Medical Orthopaedic Gro | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Suite 200, Riverside, CA 92505-8510 | 2013-09-06 |
1053609842 | Riverwalk Facial and Oral Surgery | Clinic/Center | 4234 Riverwalk Pkwy, Suite 140, Riverside, CA 92505-8510 | 2011-07-14 |
1881991669 | Roy J Caputo Md Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
1053618835 | Bret Powers Do Inc | Orthopaedic Surgery | 4234 Riverwalk Pkwy, Ste 200, Riverside, CA 92505-8510 | 2011-02-14 |
1194037945 | Ahmad Alazzeh | Internal Medicine | 4234 Riverwalk Pkwy, Riverside, CA 92505-8510 | 2010-07-09 |
1811212475 | Karandev S Rai | Psychiatry & Neurology | 4234 Riverwalk Pkwy, Suite 280, Riverside, CA 92505-8510 | 2010-04-07 |
1851542625 | Babar Iqbal Md Inc | Specialist | 4234 Riverwalk Pkwy, Riverside, CA 92505-3304 | 2008-10-09 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1205458460 | Mark Anthony Vargas | Behavioral Analyst | 94193 Flat Rock Dr Ste 220, Riverside, CA 92505 | 2020-05-11 |
1568099976 | Victoria Lee | Student in an Organized Health Care Education/Training Program | Riverside Family Medicine Residency, 10800 Magnolia Avenue, Riverside, CA 92505 | 2020-03-25 |
1588222087 | A Homecare Services, Inc | In Home Supportive Care | 4193 Flat Rock Road, Building 200 Suite 206, Riverside, CA 92505 | 2019-05-31 |
1609302397 | Tap Pharmacy, Inc. | Pharmacy | 4270 Riverwalk Pkwy Ste 102, Riverside, CA 92505 | 2017-05-02 |
1467998658 | Onofre Gascon | Behavior Technician | 11711 Collett Ave, #1614, Riverside, CA 92505 | 2017-01-11 |
1780038505 | Nash David Martinez | Emergency Medicine | 10800 Magnolia Ave Dept of Emergency Medicine, Kaiser Permanente Hospital, Riverside, CA 92505 | 2016-04-18 |
1447639901 | Jose Joel Manalese Dds Inc | Dentist | 3950 Pierce St., Suite L., Riverside, CA 92505 | 2015-05-29 |
1821493230 | Jean Huynh | Physician Assistant | 11725 State Ave., Suite 100, Riverside, CA 92505 | 2014-10-28 |
1003160649 | Elaf Farahat | Dietitian, Registered | 10800 Magnolia Avenue., Riverside, CA 92505 | 2012-11-05 |
1730458217 | Tammy Lynn Gilmore | Non-emergency Medical Transport (VAN) | 10770 Hole Avenue, 106, Riverside, CA 92505 | 2011-12-29 |
Find all providers in zip 92505 |
Taxonomy Code | 261QA1903X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Ambulatory Surgical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1821536343 | Salutaris Surgery Center, Inc. | Clinic/Center | 9041 Magnolia Ave Ste 301, Riverside, CA 92503-3957 | 2017-02-03 |
1225184153 | Jean Cheng, M.d. Inc. | Clinic/Center | 8990 Garfield St Ste 1, Riverside, CA 92503-3922 | 2007-01-25 |
1497810428 | Inland Outpatient Care Centers Inc. | Clinic/Center | 4217 Luther St, Riverside, CA 92506-2853 | 2006-12-27 |
1285735936 | Brockton Surgical Center | Clinic/Center | 5905 Brockton Avenue, Suite B, Riverside, CA 92506 | 2006-09-26 |
1922098037 | James A Desilva | Clinic/Center | 7310 Magnolia Ave, Riverside, CA 92504-3849 | 2005-10-28 |
1821637984 | Obls & Physician Services Inc | Clinic/Center | 4500 Brockton Ave Ste 105, Riverside, CA 92501-4006 | 2020-01-06 |
1952809865 | Cornerstone Surgery Center Inc | Clinic/Center | 10694 Magnolia Ave, Riverside, CA 92505-1816 | 2018-01-25 |
1104276393 | Mission Surgical Group | Clinic/Center | 3660 Park Sierra Dr, Riverside, CA 92505-3081 | 2016-06-17 |
1255796389 | University Surgery Center, Inc | Clinic/Center | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2015-12-16 |
1831562370 | Glenwood Surgery Center | Clinic/Center | 8945 Magnolia Ave, Suite 200, Riverside, CA 92503-4408 | 2015-11-05 |
Find all providers in RIVERSIDE |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.