Organization Active NPI

Relivcare Surgery Center

  • Ambulatory Surgical Clinic/Center
  • Covina, CA
National Provider Identifier
1740063353
Registry record updated Mar 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
RELIVCARE SURGERY CENTER
Practice address
233 W Badillo St Ste D
Covina, CA 91723-1966
Phone
(626) 655-8286
Fax
(866) 925-0061
NPI assigned
Aug 16, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2025

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

Authorized official

Name
Tony Liu, DONPI 1609106459
Title
Owner
Phone
(626) 655-8286

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)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

233 W Badillo St Ste D
Covina, CA 91723-1966

Mailing address

233 W Badillo St Ste D
Covina, CA 91723-1966
Phone (626) 655-8286

Other names 1

  • RelivCare Pain Center Inc Former legal business name

National Provider Directory

National Provider Directory

Locations

1535 W Merced Ave
Ste 208
West Covina, CA 91790
Phone (626) 655-8286

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1692144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741824000000",
    "number": "1740063353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "233 W BADILLO ST STE D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231966",
            "telephone_number": "626-655-8286",
            "fax_number": "866-925-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "233 W BADILLO ST STE D",
            "city": "COVINA",
            "state": "CA",
            "postal_code": "917231966",
            "telephone_number": "626-655-8286",
            "fax_number": "866-925-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RELIVCARE SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-16",
        "last_updated": "2025-03-13",
        "certification_date": "2025-03-13",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "TONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "626-655-8286",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RelivCare Pain Center Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Covina, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.