Organization Active NPI

Obls & Physician Services Inc

Doing business as Riverside Outpatient Surgical Institute

  • Ambulatory Surgical Clinic/Center
  • Riverside, CA
National Provider Identifier
1821637984
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
OBLS & PHYSICIAN SERVICES INC
Doing business as
Riverside Outpatient Surgical Institute
Practice address
4500 Brockton Ave Ste 105
Riverside, CA 92501-4006
Phone
(951) 784-4088
Fax
(951) 754-4089
NPI assigned
Jan 6, 2020
Last updated
Oct 19, 2023By the provider in NPPES
Organization subpart
Yes
Parent organization
OBLS & PHYSICIAN SERVICES INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Authorized official

Name
Reekesh R Patel, MD
Title
Owner
Phone
(909) 965-2953

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

4500 Brockton Ave Ste 105
Riverside, CA 92501-4006

Mailing address

4500 Brockton Ave Ste 105
Riverside, CA 92501-4006
Phone (951) 784-4088

Other names 1

  • RIVERSIDE OUTPATIENT SURGICAL INSTITUTE Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200323001478 CA Part B Supplier - Ambulatory Surgical Center 7214365410 Practice locations: Riverside, CA

National Provider Directory

National Provider Directory
Part of
Obls Physician Services in

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.

NPI Registry JSON

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

{
    "created_epoch": "1578268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697673600000",
    "number": "1821637984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-784-4088",
            "fax_number": "951-754-4089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 BROCKTON AVE STE 105",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014006",
            "telephone_number": "951-784-4088",
            "fax_number": "951-754-4089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OBLS & PHYSICIAN SERVICES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "OBLS & PHYSICIAN SERVICES INC",
        "enumeration_date": "2020-01-06",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "REEKESH",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "909-965-2953",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "RIVERSIDE OUTPATIENT SURGICAL INSTITUTE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.