CALIFORNIA NEUROINTERVENTIONAL SURGEONS, INC
NPI 1417315300
Radiology - Vascular & Interventional Radiology in Riverside, CA

Active since February 05, 2016
4445 MAGNOLIA AVE, RIVERSIDE, CA 92501(951) 788-3000 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 6, 2021, Feb 8, 2019, Feb 5, 2016 (3 updates tracked since 2016).

About California Neurointerventional Surgeons, Inc NPPES

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

CALIFORNIA NEUROINTERVENTIONAL SURGEONS, INC (NPI 1417315300) is a healthcare organization registered as a vascular & interventional radiology in Riverside, California and active in the NPI registry since February 2016. The organization lists Charles Stout, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1417315300
Entity TypeOrganization
Primary Taxonomy2085R0204X
Legal Business NameCALIFORNIA NEUROINTERVENTIONAL SURGEONS, INC
Location Address4445 MAGNOLIA AVERiverside, CA 92501-4135
Mailing Address700 E Redlands Blvd, Ste U714Redlands, CA 92373-6109 · (909) 554-0400
Organization SubpartNo
Authorized OfficialCharles StoutPresident And Ceo · (909) 554-0400
Enumeration DateFebruary 5, 2016
Last NPPES UpdateJuly 6, 20213 updates tracked since enumeration
NPPES CertifiedJuly 6, 2021
✔ NPI 1417315300 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyRadiology · Vascular & Interventional RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0204X
Definition
A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
Also ListedPsychiatry & Neurology · NeurologyTaxonomy 2084N0400X
4445 MAGNOLIA AVE, Riverside, CA 92501

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP
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)

California Neurointerventional Surgeons, Inc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

15

Medicare enrollment records show 15 clinicians reassign Medicare billing to California Neurointerventional Surgeons, Inc, which bills Medicare for the services they deliver. Of these, 5 practice within 10 miles. They are listed nearest first.

Clinicians by Medicare Specialty 4

Nurse Practitioner10
Diagnostic Radiology2
Neurology2
Interventional Radiology1

Clinicians, nearest first (15)

Neurology
NPI 1972766657
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 338-4910
✔ PECOS✔ Accepts Medicare0.1 mi
Neurology
NPI 1679921316
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 338-4910
✔ PECOS✔ Accepts Medicare0.1 mi
Diagnostic Radiology
NPI 1679770994
4445 MAGNOLIA AVE
Riverside, CA 92501
(951) 338-4910
✔ PECOS✔ Accepts Medicare0.1 mi
Nurse Practitioner
NPI 1780917021
4500 BROCKTON AVE STE 319
Riverside, CA 92501
(951) 367-0102
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1730831330
4100 CENTRAL AVE STE 201
Riverside, CA 92506
(951) 371-6600
✔ PECOS1.8 mi
Nurse Practitioner
NPI 1871140772
26520 CACTUS AVE
Moreno Valley, CA 92555
(714) 418-3393
✔ PECOS✔ Accepts Medicare12 mi
Nurse Practitioner
NPI 1295518355
16502 CASA GRANDE AVE UNIT 103
Fontana, CA 92336
(951) 520-3789
✔ PECOS✔ Accepts Medicare13 mi
Nurse Practitioner
NPI 1326819426
1492 W 6TH ST STE M
Corona, CA 92882
(909) 237-2944
✔ PECOS✔ Accepts Medicare14 mi
Nurse Practitioner
NPI 1184511461
3424 SPRING WHEAT ST
Perris, CA 92570
(951) 202-1356
✔ PECOS19 mi
Nurse Practitioner
NPI 1013465202
1500 DUARTE RD
Duarte, CA 91010
(800) 826-4673
✔ PECOS✔ Accepts Medicare35 mi
Diagnostic Radiology
NPI 1982645602
2121 SANTA MONICA BLVD
Santa Monica, CA 90404
(310) 829-8319
✔ PECOS✔ Accepts Medicare63 mi
Nurse Practitioner
NPI 1760177612
7675 MISSION VALLEY RD
San Diego, CA 92108
(619) 876-4250
✔ PECOS✔ Accepts Medicare84 mi
Nurse Practitioner
NPI 1942771407
400 PARNASSUS AVE FL 8
San Francisco, CA 94143
(415) 502-6197
✔ PECOS✔ Accepts Medicare386 mi
Interventional Radiology
NPI 1750817821
1350 HICKORY ST
Melbourne, FL 32901
(321) 434-8544
✔ PECOS✔ Accepts Medicare2,207 mi
Nurse Practitioner
NPI 1811793623
11234 ANDERSON ST
Loma Linda, CA 92350
(909) 558-4000
✔ PECOS✔ Accepts Medicare

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 California Neurointerventional Surgeons, Inc's NPI number?

The NPI number for California Neurointerventional Surgeons, Inc is 1417315300. It was assigned to this organization in the NPPES registry on February 5, 2016.

Where is California Neurointerventional Surgeons, Inc located?

California Neurointerventional Surgeons, Inc is located at 4445 Magnolia Ave, Riverside, CA 92501. The listed phone number is (951) 788-3000.

What is California Neurointerventional Surgeons, Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Vascular & Interventional Radiology, with taxonomy code 2085R0204X.

Is California Neurointerventional Surgeons, Inc enrolled in Medicare?

Yes. California Neurointerventional Surgeons, Inc is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through California Neurointerventional Surgeons, Inc?

According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to California Neurointerventional Surgeons, 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. The largest specialties are Nurse Practitioner (10), Diagnostic Radiology (2) and Neurology (2). Of these, 5 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for California Neurointerventional Surgeons, Inc was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.