GLENWOOD SURGERY CENTER (NPI# 1831562370) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831562370 |
| Entity Type | Organization |
| Organization Name | GLENWOOD SURGERY CENTER |
| Practice Address |
8945 Magnolia Ave Suite 200 Riverside CA 92503-4408 |
| Mailing Address |
Po Box 31001-2130 Pasadena CA 91110-2130 |
| Practice Telephone | 9516434961 |
| Practice Fax Number | 9516887903 |
| Mailing Telephone | 2134121973 |
| Mailing Fax Number | 2134121981 |
| Enumeration Date | 2015-11-05 |
| Last Update Date | 2015-11-05 |
| Authorized Official Name | DR. JOHN HEYDT (CHIEF EXECUTIVE OFFICES) |
| Authorized Official Telephone | 7144562986 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | Y |
| Parent Organization Name | REGENTS OF THE UNIVERSITY OF CALIFORNIA |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Colorado Business Entities | Glenwood Surgery Center Associates LLC | 1830 Blake Ave, Suite 202, Glenwood Springs, CO 81601 |
| Colorado Business Entities | Glenwood Surgery Center Real Estate LLC | 160 River Oaks Lane, Basalt, CO 81621 |
| Street Address |
8945 MAGNOLIA AVE SUITE 200 |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92503-4408 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316914179 | Richard Ernest Harris | Anesthesiology | 8945 Magnolia Ave, #200 Glenwood Surgery Center, Riverside, CA 92503 | 2006-03-01 |
| 1952659260 | Walter M Marcus M D Inc | Obstetrics & Gynecology | 8945 Magnolia Ave, Ste 202, Riverside, CA 92503-4436 | 2012-08-16 |
| 1831495571 | Atalanta C Olito Osteopathic Corp | Anesthesiology | 8945 Magnolia Ave, 200, Riverside, CA 92503-4436 | 2011-01-27 |
| 1366537045 | Mina S Ghebrial | Pediatrics | 8945 Magnolia Ave, Suite #205, Riverside, CA 92503-4436 | 2006-10-04 |
| 1013014612 | Walter M Marcus | Obstetrics & Gynecology | 8945 Magnolia Ave, #202, Riverside, CA 92503 | 2006-09-19 |
| 1679514053 | Jeffrey Levy Md Apc | Anesthesiology | 8945 Magnolia Ave, Ste 200, Riverside, CA 92503 | 2006-06-09 |
| 1083670970 | Glenwood Surgical Center Lp | Clinic/Center | 8945 Magnolia Ave, Suite 200, Riverside, CA 92503-4436 | 2006-04-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| 1205396488 | Francisco Aguayo | Behavioral Analyst | 3345 Jackson St, Riverside, CA 92503 | 2019-03-22 |
| 1073071684 | Racheal Ego Aneke | Nurse Practitioner | 9890 County Farm Rd., Building 2, Riverside, CA 92503 | 2019-03-04 |
| 1073070264 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 3500 Tyler Mall, Riverside, CA 92503 | 2019-02-25 |
| 1053893271 | Tsibel Dental Practice Inc. | Dentist | 10181 Magnolia Ave, Riverside, CA 92503 | 2018-09-04 |
| 1508344714 | Patricia Marraine Redondo | Counselor | 1625 14th St, Riverside, CA 92503 | 2018-07-31 |
| 1740766146 | Robles Rodef & Yaghoubi Dental Corporation | Dentist | 5628 Van Buren Blvd Suite #a, Riverside, CA 92503 | 2018-07-18 |
| 1467961755 | Daniela Popa | Assisted Living Facility | 10820 Calle Bella, Riverside, CA 92503 | 2017-09-29 |
| 1457860306 | Leah Dreany | Peer Specialist | 2085 Rustin Avenue Building #3, Riverside, CA 92503 | 2017-09-22 |
| 1710400445 | Christopher John Guting | Peer Specialist | 10230 Indiana Avenue, Riverside, CA 92503 | 2017-07-25 |
| Find all providers in zip 92503 | ||||
| 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 |
| 1386003390 | Riverwalk Surgery Center, LLC | Clinic/Center | 4234 Riverwalk Pkwy, Suite 140, Riverside, CA 92505-8510 | 2016-02-18 |
| 1255796389 | University Surgery Center, Inc | Clinic/Center | 6276 River Crest Dr, Riverside, CA 92507-0783 | 2015-12-16 |
| 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.