Inland Outpatient Surgery Center, Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

INLAND OUTPATIENT SURGERY CENTER, INC.

Practice address

4217 Luther St
Riverside, CA 92506-2853

Phone

(951) 600-7702

Fax

(951) 600-5935

NPI assigned

Oct 18, 2010

Last updated

Oct 18, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Andrew Thio, M.D.NPI 1356310957

Title

Medical Director

Phone

(951) 600-7702

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861702359. Details of each certification follow.

• CCN 05C0001732 Ambulatory surgical center · Active · Name & address match · Details

Ambulatory surgical center certification: CCN 05C0001732

Legal name

INLAND OUTPATIENT SURGERY CENTER

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

May 13, 2005

Last certification

Dec 5, 2018

Ownership / control type

Proprietary

Facility address

4217 Luther Street
Riverside, CA 92506

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, and the practitioner matching its NPPES authorized official.

• Andrew Hok San Thio, MD

  • Anesthesiology Physician
  • Murrieta, CA
  • NPI 1356310957
  Authorized official Same address or phone

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

{
    "created_epoch": "1287360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287360000000",
    "number": "1861702359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41670 IVY ST",
            "address_2": "SUITE B",
            "city": "MURRIETA",
            "state": "CA",
            "postal_code": "925629432",
            "telephone_number": "951-600-7702",
            "fax_number": "951-600-5935"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4217 LUTHER ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925062853",
            "telephone_number": "951-600-7702",
            "fax_number": "951-600-5935"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLAND OUTPATIENT SURGERY CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-18",
        "last_updated": "2010-10-18",
        "status": "A",
        "authorized_official_last_name": "THIO",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "951-600-7702",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Inland Hospitalists Med GP
• Inland Medical Response, Inc.
• Inland Medical Supplies
• Inland Mobile Diagnostics, LLC
• Inland Outpatient Care Centers Inc.
• Inland Pediatrics, Inc
• Inland Pediatrics, Inc.
• Inland Podiatry Group Inc
• Inland Psychiatric Medical Group, Inc.
• Inland Southern California 211 (Inland SoCal 211)

• Ambulatory Surgical Clinic/Center in Riverside, CA
• Providers in Riverside, 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 Oct 18, 2010; 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.