Active NPI
White Pine Surgery Center
- Ambulatory Surgical Clinic/Center
- Riverside, CA
National Provider Identifier
1487408316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- WHITE PINE SURGERY CENTER
- Practice address
- 3762 Tibbetts St
Riverside, CA 92506-2605 - Phone
- (949) 414-7246
- NPI assigned
- Apr 16, 2024
- Last updated
- Aug 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
- Dr. Yi Cai Isaac Tong, MD
- Title
- Member/Ceo
- Phone
- (917) 745-6888
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 | NU | Primary |
Addresses
Primary practice location
3762 Tibbetts St
Riverside, CA 92506-2605
Mailing address
3762 Tibbetts St
Riverside, CA 92506-2605
National Provider Directory
National Provider DirectoryLocations
3762 Tibbetts St
Riverside, CA 92506
Phone (951) 686-2224
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.
-
- Interventional Pain Medicine Physician
- Riverside, CA
- NPI 1659678837
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713225600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1724112000000",
"number": "1487408316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3762 TIBBETTS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062605"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3762 TIBBETTS ST",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925062605",
"telephone_number": "949-414-7246"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITE PINE SURGERY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-16",
"last_updated": "2024-08-20",
"certification_date": "2024-08-20",
"status": "A",
"authorized_official_last_name": "TONG",
"authorized_official_first_name": "YI CAI ISAAC",
"authorized_official_title_or_position": "MEMBER/CEO",
"authorized_official_telephone_number": "917-745-6888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"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 Aug 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.