Active NPI
Namg Riverside ASC LLC
- Ambulatory Surgical Clinic/Center
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- NAMG RIVERSIDE ASC LLC
- Practice address
- 4334 Central Ave
Riverside, CA 92506-2918 - Phone
- (951) 248-1291
- NPI assigned
- Jun 6, 2024
- Last updated
- Jun 20, 2024
- 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
- Gregg Miller, MD
- Title
- Authorized Official
- Phone
- (717) 515-4048
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | Primary |
Addresses
Primary practice location
4334 Central Ave
Riverside, CA 92506-2918
Mailing address
PO Box 411825
Boston, MA 02241-1825
Phone (610) 644-8900
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2312661 | Namg Riverside ASC, LLC | Certificate of waiver | Oct 15, 2026 |
National Provider Directory
National Provider DirectoryLocations
4334 Central Ave
Riverside, CA 92506
Phone (951) 248-1291
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Nephrology Physician
- Brooklyn, NY
- NPI 1942273560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1717632000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1718841600000",
"number": "1255172755",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 411825",
"city": "BOSTON",
"state": "MA",
"postal_code": "022411825",
"telephone_number": "610-644-8900",
"fax_number": "484-924-0053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4334 CENTRAL AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062918",
"telephone_number": "951-248-1291"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "NAMG RIVERSIDE ASC LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-06",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A",
"authorized_official_last_name": "MILLER",
"authorized_official_first_name": "GREGG",
"authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "717-515-4048",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.