De Anza Surgery Center
De Anza Surgery Center is a healthcare organization registered as Ambulatory Surgical Clinic/Center in Riverside, CA, holding Type 2 (organization) NPI 1831177567 since 2006. The authorized official on file is Edward Tennant, Ceo/Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1831177567 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | De Anza Surgery Center |
| Practice address | 4444 MAGNOLIA AVE, SUITE C, Riverside, CA, 92501 |
| Phone | 9513207799 |
| Fax | 9512743550 |
| Enumeration date | 2006-01-03 |
| Last updated in NPPES | 2008-10-09 |
Authorized official
| Name | Edward Tennant |
|---|---|
| Title | Ceo/Administrator |
| Phone | 9513207799 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261QA1903X | Ambulatory Surgical Clinic/Center | Primary | 250000795 | CA |
Copy-ready billing details
Provider: De Anza Surgery Center NPI: 1831177567 Taxonomy: 261QA1903X (Ambulatory Surgical Clinic/Center) Address: 4444 MAGNOLIA AVE, SUITE C, Riverside, CA, 92501
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1164407391 | Thomas Hartley | Individual | Orthopaedic Surgery Physician | Riverside, CA |
| 1275508400 | James Clover | Individual | Athletic Trainer | Riverside, CA |
| 1013952001 | Brian Hild | Individual | Orthopaedic Surgery Physician | Riverside, CA |
| 1275608937 | Community Medical Group of Riverside Inc | Organization | Orthopaedic Surgery Physician | Riverside, CA |
| 1003031899 | Anocha Suphol | Individual | Sports Physical Therapist | Riverside, CA |
| 1629293428 | Margery Sanchez | Individual | Hand Occupational Therapist | Riverside, CA |
| 1639394414 | Kim Samosky | Individual | Sports Physical Therapist | Riverside, CA |
| 1245455104 | Theodora Winn | Individual | Orthopedic Physical Therapist | Riverside, CA |
Verify this record
Cross-check NPI 1831177567 against the authoritative CMS record: view De Anza Surgery Center on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for De Anza Surgery Center?
What is the NPI number for De Anza Surgery Center?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-10-09.