RIVERSIDE PLASTIC SURGERY ASSOCIATES INC.
NPI 1316010499
Specialist in Riverside, CA

Active since November 16, 2006
4605 BROCKTON AVE, SUITE 200, RIVERSIDE, CA 92506(951) 781-4339(951) 274-0985 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Riverside Plastic Surgery Associates Inc. NPPES

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

RIVERSIDE PLASTIC SURGERY ASSOCIATES INC. (NPI 1316010499) is a healthcare organization registered as a specialist in Riverside, California and active in the NPI registry since November 2006. The organization lists Ben J. Childers, President Cfo, as its authorized official.

NPPES Registry Identity

NPI1316010499
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameRIVERSIDE PLASTIC SURGERY ASSOCIATES INC.
Location Address4605 BROCKTON AVE, SUITE 200Riverside, CA 92506-0106
Mailing Address4605 Brockton Ave, Suite 200Riverside, CA 92506-0106 · (951) 781-4339 · Fax (951) 274-0985
Fax(951) 274-0985
Organization SubpartNo
Authorized OfficialBen J. ChildersPresident Cfo · (951) 781-4339
Enumeration DateNovember 16, 2006
Last NPPES UpdateSeptember 9, 2009
✔ NPI 1316010499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in CA · G76953
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
4605 BROCKTON AVE, Riverside, CA 92506

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Riverside Plastic Surgery Associates Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Riverside Plastic Surgery Associates Inc., which bills Medicare for the services this clinician delivers.

Clinician (1)

Plastic and Reconstructive Surgery
NPI 1932287471
4605 BROCKTON AVE SUITE 200
Riverside, CA 92506
(951) 781-4366
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Riverside Plastic Surgery Associates Inc.'s NPI number?

The NPI number for Riverside Plastic Surgery Associates Inc. is 1316010499. It was assigned to this organization in the NPPES registry on November 16, 2006.

Where is Riverside Plastic Surgery Associates Inc. located?

Riverside Plastic Surgery Associates Inc. is located at 4605 Brockton Ave Suite 200, Riverside, CA 92506. The listed phone number is (951) 781-4339.

What is Riverside Plastic Surgery Associates Inc.'s specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Is Riverside Plastic Surgery Associates Inc. enrolled in Medicare?

Yes. Riverside Plastic Surgery Associates Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Riverside Plastic Surgery Associates Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Plastic and Reconstructive Surgery) reassigns their Medicare billing to Riverside Plastic Surgery Associates Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Riverside Plastic Surgery Associates Inc. was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.