Cornerstone Surgery Center & Anesthesia Nursing Services Inc.

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

CORNERSTONE SURGERY CENTER & ANESTHESIA NURSING SERVICES INC.

Doing business as

Cornerstone Surgery Center Inc.

Practice address

10694 Magnolia Ave
Riverside, CA 92505-1816

Phone

(951) 977-9778

Fax

(951) 977-9768

NPI assigned

Jan 25, 2018

Organization subpart

No

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

Authorized official

Name

Waylan Wyatt Kruse, CRNA, MSNNPI 1518299874

Title

Chief/Officer

Phone

(951) 335-5250

Specialties & licenses 1

Addresses

Other names 1

• Cornerstone Surgery Center Inc. Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Ambulatory surgical center certification: CCN 55C0001204

Legal name

Cornerstone Surgery Center & Anesthesia Nursing Services Inc.

Certification status

Active

Provider type (POS)

Ambulatory surgical center

Participating since

Jul 22, 2024

Last certification

Jul 10, 2024

Facility address

10694 Magnolia Avenue
Riverside, CA 92505

Locations

Practitioners 2

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

• Waylan Kruse

  • Certified Registered Nurse Anesthetist
  • Riverside, CA
  • NPI 1518299874
  NPD (past) Authorized official
• Mohammad A Khan, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Riverside, CA
  • NPI 1922008143
  NPD

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1768176000000",
    "number": "1952809865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10694 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051816",
            "telephone_number": "951-335-5250",
            "fax_number": "951-335-5267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10694 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925051816",
            "telephone_number": "951-977-9778",
            "fax_number": "951-977-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE SURGERY CENTER & ANESTHESIA NURSING SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-25",
        "last_updated": "2026-01-12",
        "certification_date": "2026-01-12",
        "status": "A",
        "authorized_official_last_name": "KRUSE",
        "authorized_official_first_name": "WAYLAN",
        "authorized_official_middle_name": "WYATT",
        "authorized_official_title_or_position": "CHIEF/OFFICER",
        "authorized_official_telephone_number": "951-335-5250",
        "authorized_official_credential": "CRNA, MSN"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cornerstone Surgery Center Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Cornejo
• Ronald Cornelissen
• Nadin Cornelius-Martin
• Traci Cornelius
• Juan Cornell
• Adrian Corona-Pimentel
• Sigrid Viveros Corona
• Valentina Corona
• Corona/Riverside Health Clinic
• Alma Delia Coronado, D.A

• 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 Jan 12, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.