Riverside Regional Surgery Center Inc

Primary specialty

Pain Clinic/CenterTaxonomy code 261QP3300X

License

A104410 Issued in CA

Legal business name

RIVERSIDE REGIONAL SURGERY CENTER INC

Practice address

4234 Riverwalk Pkwy
Ste 160
Riverside, CA 92505-8510

Phone

(951) 785-7772

NPI assigned

Nov 19, 2014

Last updated

Dec 16, 2014By 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

Babar Iqbal, M.D.NPI 1528139722

Title

Owner

Phone

(951) 785-7772

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1407253446. Details of each certification follow.

• CCN 05C0002086 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0002086

Legal name

RIVERSIDE REGIONAL SURGERY CENTER, INC

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jun 26, 2015

Last certification

Sep 19, 2018

Ownership / control type

Proprietary

Facility address

4234 Riverwalk Parkway, Unit 160
Riverside, CA 92505

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.

• Babar Iqbal, MD

  • Anesthesiology Physician
  • Riverside, CA
  • NPI 1528139722
  NPD (past) Authorized official

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

{
    "created_epoch": "1416355200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418688000000",
    "number": "1407253446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "STE 160",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-785-7772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4234 RIVERWALK PKWY",
            "address_2": "STE 160",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925058510",
            "telephone_number": "951-785-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE REGIONAL SURGERY CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-19",
        "last_updated": "2014-12-16",
        "status": "A",
        "authorized_official_last_name": "IQBAL",
        "authorized_official_first_name": "BABAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "951-785-7772",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QP3300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Pain",
            "state": "CA",
            "license": "A104410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Riverside Recovery Resources (Beta)
• Riverside Recovery Resources
• Riverside Recovery Resources (Beta Program)
• Riverside Recovery Resources (Beta Program)
• Riverside Recuperative Care
• Riverside Retirement Villa LLC (Arlington Riverside Senior Community)
• Riverside Sanitarium, LLC (Riverside Behavioral Healthcare Center)
• Riverside Season Grove CLHF Inc.
• Riverside Smiles Dentistry Dr Akkari DDS
• Riverside SNF, LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2014; 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.

Verify at the official NPI Registry.