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NAMG RIVERSIDE ASC LLC
NPI 1255172755
Clinic/Center - Ambulatory Surgical in Riverside, CA

Active since June 06, 2024CLIA 05D2312661 · Waiver
4334 CENTRAL AVE, RIVERSIDE, CA 92506(951) 248-1291 Get Directions Write a Review

NPPES record last updated: June 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 20, 2024, Jun 6, 2024 (2 updates tracked since 2024).

About Namg Riverside Asc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAMG RIVERSIDE ASC LLC (NPI 1255172755) is a healthcare organization registered as an ambulatory surgical in Riverside, California and active in the NPI registry since June 2024. The organization holds a CLIA Waiver certificate valid through October 15, 2026 and lists Gregg Miller, Authorized Official, as its authorized official.

NPPES Registry Identity

NPI1255172755
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameNAMG RIVERSIDE ASC LLC
Location Address4334 CENTRAL AVERiverside, CA 92506-2918
Mailing AddressPo Box 411825Boston, MA 02241-1825 · (610) 644-8900 · Fax (484) 924-0053
Phone(951) 248-1291
Organization SubpartNo
Authorized OfficialGregg MillerAuthorized Official · (717) 515-4048
Enumeration DateJune 6, 2024
Last NPPES UpdateJune 20, 20242 updates tracked since enumeration
NPPES CertifiedJune 20, 2024
✔ NPI 1255172755 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
4334 CENTRAL AVE, Riverside, CA 92506
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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2312661

Namg Riverside ASC, LLC · Riverside, CA
Active · expires Oct 15, 2026
CLIA Number05D2312661
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateOctober 16, 2024
Certificate Expiration DateOctober 15, 2026
Laboratory DirectorDr. Dalia Dawoud
Laboratory Phone(951) 248-1291
Laboratory LocationNamg Riverside ASC, LLC4334 Central Ave, Riverside, CA 92506
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DANH TIEN NGUYEN MD
Radiology (Diagnostic Radiology)
4334 CENTRAL AVE
RIVERSIDE, CA 92506
Riverside County (951) 682-7580
KARL E WEINGARTEN MD
Radiology (Vascular & Interventional Radiology)
4334 CENTRAL AVE
RIVERSIDE, CA 92506
Riverside County (951) 248-1291
RATTNER VASCULAR MEDICAL CENTER ASC LLC
Clinic/Center (Ambulatory Surgical)
4334 CENTRAL AVE
RIVERSIDE, CA 92506
Riverside County (951) 248-1291

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Namg Riverside ASC LLC's NPI number?

The NPI number for Namg Riverside ASC LLC is 1255172755. It was assigned to this organization in the NPPES registry on June 6, 2024.

Where is Namg Riverside ASC LLC located?

Namg Riverside ASC LLC is located at 4334 Central Ave, Riverside, CA 92506. The listed phone number is (951) 248-1291.

What is Namg Riverside ASC LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Namg Riverside ASC LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2312661) is associated with this NPI, valid through October 15, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Namg Riverside ASC LLC was last updated on June 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.