Active NPI
River's Edge Surgery Center, Inc.
- Ambulatory Surgical Clinic/Center
- Rancho Mirage, CA
National Provider Identifier
1811386147
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ambulatory Surgical Clinic/Center
- Legal business name
- RIVER'S EDGE SURGERY CENTER, INC.
- Practice address
- 71780 San Jacinto Dr
Building D
Rancho Mirage, CA 92270-5516 - Phone
- (951) 699-0303
- NPI assigned
- Jan 9, 2015
- Last updated
- Aug 14, 2025
- 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
- Ryan Harper
- Title
- Vice President
- Phone
- (760) 862-1888
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ambulatory Surgical Clinic/Center | 261QA1903X | NU | Primary |
Addresses
Primary practice location
71780 San Jacinto Dr
Building D
Rancho Mirage, CA 92270-5516
Mailing address
71780 San Jacinto Dr
Building D
Rancho Mirage, CA 92270-5516
Phone (951) 699-0303
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161215002369 | CA | Part B Supplier - Ambulatory Surgical Center | 0446530042 | Practice locations: Rancho Mirage, CA |
Care Compare: Ambulatory surgical center
Medicare Care Compare- Listed as
- Rivers Edge Surgery Center Inc
- Medicare certification status
- Active
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 |
|---|---|---|---|
| 05D2095350 | River's Edge Surgery Center | Certificate of waiver | May 5, 2027 |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Pain Medicine Physician
- Placentia, CA
- NPI 1154385961
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1420761600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1755129600000",
"number": "1811386147",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DR",
"address_2": "BUILDING D",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705516",
"telephone_number": "951-699-0303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "71780 SAN JACINTO DR",
"address_2": "BUILDING D",
"city": "RANCHO MIRAGE",
"state": "CA",
"postal_code": "922705516",
"telephone_number": "951-699-0303"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIVER'S EDGE SURGERY CENTER, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-01-09",
"last_updated": "2025-08-14",
"certification_date": "2025-08-14",
"status": "A",
"authorized_official_last_name": "HARPER",
"authorized_official_first_name": "RYAN",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "760-862-1888"
},
"taxonomies": [
{
"code": "261QA1903X",
"taxonomy_group": "",
"desc": "Clinic/Center, Ambulatory Surgical",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rancho Mirage, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2025; 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.