DE ANZA SURGERY CENTER (NPI# 1831177567) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831177567 |
| Entity Type | Organization |
| Organization Name | DE ANZA SURGERY CENTER |
| Practice Address |
4444 Magnolia Ave Suite C Riverside CA 92501-4136 |
| Practice Telephone | 9513207799 |
| Practice Fax Number | 9512743550 |
| Mailing Telephone | 9513207799 |
| Mailing Fax Number | 9512743550 |
| Enumeration Date | 2006-01-03 |
| Last Update Date | 2008-10-09 |
| Authorized Official Name | MR. EDWARD J TENNANT (CEO/ADMINISTRATOR) |
| Authorized Official Telephone | 9513207799 |
| Authorized Official Credential | CASC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
250000795 | CA | Ambulatory Health Care Facilities |
| Street Address |
4444 MAGNOLIA AVE SUITE C |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92501-4136 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164407391 | Thomas Mark Hartley | Orthopaedic Surgery | 4444 Magnolia Ave, Riverside, CA 92501 | 2005-12-09 |
| 1295175479 | James David Winn | Physical Therapy Assistant | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2013-07-02 |
| 1710131750 | Danica C Macias | Physical Medicine & Rehabilitation | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2008-11-04 |
| 1932389673 | Christy Jo Horn | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-11-09 |
| 1942497193 | Thomas Tuan Pham | Family Medicine | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-10-02 |
| 1902024169 | Brent Harper | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-23 |
| 1003031899 | Anocha Suphol | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1629293428 | Margery Sanchez | Occupational Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1639394414 | Kim Samosky | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| 1245455104 | Theodora Winn | Physical Therapist | 4444 Magnolia Ave, Riverside, CA 92501-4136 | 2007-04-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700437605 | Mary Horvatin | Technician | 1811 Rivera Strret, Riverside, CA 92501 | 2019-09-23 |
| 1366905473 | Timothy Daniel Collins | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme, Office, Riverside, CA 92501 | 2019-04-08 |
| 1346709672 | Lourdes Adame | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Ave - Gme Office, Riverside, CA 92501 | 2019-03-16 |
| 1740759067 | Kristina Ferris-celosse | Counselor | 2452 Wilshire St., Riverside, CA 92501 | 2018-11-15 |
| 1750888095 | Arunmozhi Aravagiri | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, Gme Office, 4445 Magnolia Ave., Riverside, CA 92501 | 2018-04-12 |
| 1720585847 | Alan Huynh | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue., Gme Office, Riverside, CA 92501 | 2018-04-06 |
| 1538664834 | Wilson Paul Frasca | Student in an Organized Health Care Education/Training Program | 4445 Magnolia Avenue, Riverside, CA 92501 | 2018-03-28 |
| 1851896575 | Geethu Gopinathan Nair | Student in an Organized Health Care Education/Training Program | Riverside Community Hospital, 4445 Magnolia Ave., Gme Office, Riverside, CA 92501 | 2018-03-26 |
| 1316465560 | Thilini Anne Abeygunaratne | Marriage & Family Therapist | 1950 Market Street, Riverside, CA 92501 | 2017-09-07 |
| 1194257410 | Melissa Chitwood | Assistant Behavior Analyst | 3078 Cedar St., Riverside, CA 92501 | 2017-03-28 |
| Find all providers in zip 92501 | ||||
| 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.