Riverside Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

RIVERSIDE SURGERY CENTER, INC.

Practice address

2801 Park Marina Dr
Redding, CA 96001-2822

Phone

(530) 244-2273

Fax

(530) 244-2708

NPI assigned

May 9, 2006

Organization subpart

No

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

Authorized official

Name

Jan McEwen

Title

Administrator

Phone

(530) 244-2273

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 05C0001404

Legal name

RIVERSIDE SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 6, 1998

Last certification

Jun 20, 2019

Ownership / control type

Proprietary

Facility address

2801 Park Marina Drive
Redding, CA 96001

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 1

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

• Michael A Sumsion, MD

  • Ophthalmology Physician
  • Redding, CA
  • NPI 1699725507
  NPD (past)

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

{
    "created_epoch": "1147132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1821047499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 PARK MARINA DR",
            "city": "REDDING",
            "state": "CA",
            "postal_code": "960012822",
            "telephone_number": "530-244-2273",
            "fax_number": "530-244-2708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERSIDE SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-09",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCEWEN",
        "authorized_official_first_name": "JAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "530-244-2273"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "ZZZH4503Z",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "SUR01404F",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheree-Dawn Rivera, FNP
• Sonja Rivera, ASSISTANT BEHAVIOR
• Rivercrest Parkway
• Riverside Eyecare Professionals Inc a Medical Corporation
• Riverside Optical
• RNC Medical Group, Inc.
• Lesley Ann Uy Roa, RPH
• Riley Aspen Roach
• Peter S. Robbins, M.D.
• Robert a. Greene, M.D., Inc.

• Ambulatory Surgical Clinic/Center in Redding, CA
• Providers in Redding, 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 Aug 22, 2020; 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.
• 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.