CORNERSTONE SURGERY CENTER INC (NPI# 1952809865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1952809865 |
Entity Type | Organization |
Organization Name | CORNERSTONE SURGERY CENTER INC |
Practice Address |
10694 Magnolia Ave Riverside CA 92505-1816 |
Mailing Address |
6185 Magnolia Ave Ste 147 Riverside CA 92506-2524 |
Practice Telephone | 9519779778 |
Practice Fax Number | 9519779768 |
Mailing Telephone | 9512000409 |
Mailing Fax Number | 9515994664 |
Enumeration Date | 2018-01-25 |
Last Update Date | 2019-11-07 |
Authorized Official Name | WAYLAN WYATT KRUSE (ADMINISTRATOR) |
Authorized Official Telephone | 7143360429 |
Authorized Official Credential | CRNA, MSN |
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 |
10694 MAGNOLIA AVE |
City | RIVERSIDE |
State | CA |
Zip Code | 92505-1816 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1275645699 | Magnolia Surgery Center,inc. | Specialist | 10694 Magnolia Ave, Riverside, CA 92505-1816 | 2006-08-31 |
1659744175 | Ucr Health- Plastic & Reconstructive Surgery | Clinic/Center | 10694 Magnolia Ave, Riverside, CA 92505-1816 | 2015-11-05 |
1578756409 | Alexander Carli, M.d., F.a.c.s., Inc. | Specialist | 10694 Magnolia Ave, Riverside, CA 92505-1816 | 2007-08-23 |
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 |
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.