RIVERSIDE SURGERY CENTER, INC. (NPI# 1821047499) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821047499 |
| Entity Type | Organization |
| Organization Name | RIVERSIDE SURGERY CENTER, INC. |
| Practice Address |
2801 Park Marina Dr Redding CA 96001-2822 |
| Practice Telephone | 5302442273 |
| Practice Fax Number | 5302442708 |
| Mailing Telephone | 5302442273 |
| Mailing Fax Number | 5302442708 |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | JAN MCEWEN (ADMINISTRATOR) |
| Authorized Official Telephone | 5302442273 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
CA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | SUR01404F | 05 | |
| CA | BLUE SHIELD | ZZZH4503Z | 01 |
| Street Address |
2801 PARK MARINA DR |
| City | REDDING |
| State | CA |
| Zip Code | 96001-2822 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164083663 | Riverside Optical | Eyewear Supplier (Equipment, not the service) | 2801 Park Marina Dr, Redding, CA 96001-2822 | 2019-06-25 |
| 1699725507 | Michael A Sumsion | Ophthalmology | 2801 Park Marina Dr, Redding, CA 96001-2822 | 2006-05-11 |
| 1710936539 | Michael Sumsion Md Dba Riverside Eyecare Professionals | Ophthalmology | 2801 Park Marina Dr, Redding, CA 96001-2822 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730651266 | Vanessa Louise Banda | Social Worker | 1544 Magnolia Avenue, Redding, CA 96001 | 2018-12-21 |
| 1184194672 | Marie Sherrick | Licensed Vocational Nurse | 2030 Elreno Lane, Redding, CA 96001 | 2018-11-28 |
| 1699257857 | Prorehab Physical Therapy and Sports Performance, Inc | Physical Therapist | 3673 Eureka Way, Redding, CA 96001 | 2018-09-05 |
| 1316456833 | Jennifer Rose Goehring | Counselor | 1310 Continental Street, Redding, CA 96001 | 2017-09-27 |
| 1891224440 | Audrey Cutler | Social Worker | 1313 Yuba St., Redding, CA 96001 | 2017-06-07 |
| 1184167991 | Calafia Holdings LLC | Skilled Nursing Facility | 1836 Gold Street, Redding, CA 96001 | 2016-11-28 |
| 1194272369 | Shasta County | Clinic/Center | 2950 Polk Street, Rooms 2, 3, 4, Redding, CA 96001 | 2016-09-06 |
| 1417329236 | Shari Hayden | Specialist/Technologist, Other | 2111 Air Park Dr, Redding, CA 96001 | 2015-10-21 |
| 1679951982 | Shasta Hearing Aids | Health Maintenance Organization | 900 Butte St, Redding, CA 96001 | 2015-05-07 |
| 1073919171 | Native American Mental Health Services Corporation | Psychiatry & Neurology | 1742 Oregon Street, Redding, CA 96001 | 2014-11-17 |
| Find all providers in zip 96001 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497120463 | The Cardiovascular Surgical Center, Inc. | Clinic/Center | 2415 Sonoma St, Redding, CA 96001-3026 | 2015-12-02 |
| 1356490916 | Jesse M. Kramer, M.d. | Clinic/Center | 2128 Eureka Way, Redding, CA 96001-0427 | 2007-01-10 |
| 1912094509 | Apogee Outpatient Surgery Center | Clinic/Center | 1238 West Street, Redding, CA 96001 | 2006-10-06 |
| 1477552768 | Court Street Surgery Center, Lp | Clinic/Center | 2184 Court St, Redding, CA 96001-2530 | 2005-07-19 |
| 1780683078 | Court Street Surgery Center, Lp | Clinic/Center | 2439 Sonoma St, Redding, CA 96001-3026 | 2005-07-19 |
| 1114922192 | Gastroenterology Associates Endoscopy Center, LLC | Clinic/Center | 2179 Court St, Redding, CA 96001-2531 | 2005-06-16 |
| 1932102498 | Mercy Surgery Center, Lp | Clinic/Center | 2175 Rosaline Ave, Ste A, Redding, CA 96001-2509 | 2005-05-27 |
| 1619411519 | Daniel B Lensink Medical Corporation | Clinic/Center | 2770 Eureka Way, Ste 300, Redding, CA 96001-0252 | 2016-12-12 |
| 1700057254 | North State Surgery Centers, Lp | Clinic/Center | 2175 Rosaline Ave, Ste A, Redding, CA 96001-2549 | 2008-03-12 |
| 1629249172 | North State Surgery Centers Lp | Clinic/Center | 2184 Court St, Redding, CA 96001-2530 | 2008-03-12 |
| Find all providers in REDDING | ||||
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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.