Riverwalk Surgery Center, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIVERWALK SURGERY CENTER, LLC

Doing business as

Precision Surgery Center

Practice address

4234 Riverwalk Pkwy
Suite 140
Riverside, CA 92505-8510

Phone

(951) 509-9204

Fax

(951) 509-9206

NPI assigned

Feb 18, 2016

Last updated

Mar 10, 2016By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Joseph K. Ku, M.D.NPI 1649393760

Title

Chairman, Governing Body

Phone

(951) 509-9204

Specialties & licenses 1

Addresses

Other names 1

• Precision Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Listed as

Riverwalk Surgery Center LLC Dba Precision Surgery CenterCCN 05C0002124

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 2

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.

• Joseph K Ku, MD

  • Plastic and Reconstructive Surgery Physician
  • Riverside, CA
  • NPI 1649393760
  NPD Authorized official
• Lucas Ryan Wymore, MD

  • Orthopaedic Surgery Physician
  • Riverside, CA
  • NPI 1518128081
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1455753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457568000000",
    "number": "1386003390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-509-9204",
            "fax_number": "951-509-9206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "SUITE 140",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-509-9204",
            "fax_number": "951-509-9206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERWALK SURGERY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-03-10",
        "status": "A",
        "authorized_official_last_name": "KU",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "K.",
        "authorized_official_title_or_position": "CHAIRMAN, GOVERNING BODY",
        "authorized_official_telephone_number": "951-509-9204",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Precision Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Riverside Univeristy Health System Department of Mental Health
• Riverside University Health System
• Riverside Villa
• Riverwalk Facial and Oral Surgery
• Riverwalk Pharmacy
• Riverwalk Ultrasound Center
• Miriam M Rizk, PSY.D.
• Antony Georges Rizkallah, DC
• Madeleine Rizo
• RMC Surgery Center LLC (RMC Surgery Center)

• Ambulatory Surgical Clinic/Center in Riverside, CA
• Providers in Riverside, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.