Active NPI
Jean Cheng, M.D. Inc.
- Ambulatory Surgical Clinic/Center
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- License
- 250000625
- Legal business name
- JEAN CHENG, M.D. INC.
- Doing business as
- The Surgery Center of Riverside
- Practice address
- 8990 Garfield St Ste 1
Riverside, CA 92503-3922 - Phone
- (951) 785-5421
- Fax
- (951) 785-0130
- NPI assigned
- Jan 25, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jean Cheng, M.D.
- Title
- President
- Phone
- (951) 785-5421
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | 250000625 | CA | Primary |
Addresses
Primary practice location
8990 Garfield St Ste 1
Riverside, CA 92503-3922
Mailing address
8990 Garfield St Ste 1
Riverside, CA 92503-3922
Phone (951) 785-5421
Other names 1
- The Surgery Center of Riverside
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040116001008 | CA | Part B Supplier - Ambulatory Surgical Center | 6305747882 | Practice locations: Riverside, CA |
Ambulatory surgical center certification: CCN 05C0001097
Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.
- Legal name
- THE SURGERY CENTER OF RIVERSIDE
- Certification status
- Active
- Provider type (POS)
- Ambulatory surgical center
- Participating since
- May 30, 1985
- Last certification
- May 8, 2018
- Ownership / control type
- Proprietary
- Facility address
- 8990 Garfield Street, Suite 1
Riverside, CA 92503
National Provider Directory
National Provider Directory- Tax ID family
- Best Clinic
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- General Practice Physician
- Riverside, CA
- NPI 1225397383
Locations
8990 Garfield St
Ste 1
Riverside, CA 92503
Phone (951) 785-5421
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Ophthalmology Physician
- Riverside, CA
- NPI 1740331636
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169683200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214352000000",
"number": "1225184153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8990 GARFIELD ST STE 1",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033922",
"telephone_number": "951-785-5421",
"fax_number": "951-785-0130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8990 GARFIELD ST STE 1",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925033922",
"telephone_number": "951-785-5421",
"fax_number": "951-785-0130"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JEAN CHENG, M.D. INC.",
"organizational_subpart": "NO",
"enumeration_date": "2007-01-25",
"last_updated": "2008-06-25",
"status": "A",
"authorized_official_last_name": "CHENG",
"authorized_official_first_name": "JEAN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "951-785-5421",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "CA",
"license": "250000625",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Surgery Center of Riverside",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.