BROCKTON SURGICAL CENTER (NPI# 1285735936) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285735936 |
| Entity Type | Organization |
| Organization Name | BROCKTON SURGICAL CENTER |
| Practice Address |
5905 Brockton Avenue Suite B Riverside CA 92506 |
| Practice Telephone | 9516865373 |
| Practice Fax Number | 9517813661 |
| Mailing Telephone | 9516865373 |
| Mailing Fax Number | 9517813661 |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2007-12-11 |
| Authorized Official Name | MR. DONALD GREGORY VOGT (ADMINISTRATOR) |
| Authorized Official Telephone | 9516865373 |
| Authorized Official Credential | DPM |
| 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 |
| Street Address |
5905 BROCKTON AVENUE SUITE B |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| 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 |
| 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 |
| 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.