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WHITE PINE SURGERY CENTER
NPI 1487408316
Clinic/Center - Ambulatory Surgical in Riverside, CA

Active since April 16, 2024CLIA 05D2325992 · Waiver
3762 TIBBETTS ST, RIVERSIDE, CA 92506(949) 414-7246 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 20, 2024, Apr 16, 2024 (2 updates tracked since 2024).

About White Pine Surgery Center NPPES

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

WHITE PINE SURGERY CENTER (NPI 1487408316) is a healthcare organization registered as an ambulatory surgical in Riverside, California and active in the NPI registry since April 2024. The organization holds a CLIA Waiver certificate valid through June 23, 2027 and lists Yi Cai Isaac Tong, Member/ceo, as its authorized official.

NPPES Registry Identity

NPI1487408316
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameWHITE PINE SURGERY CENTER
Location Address3762 TIBBETTS STRiverside, CA 92506-2605
Mailing Address3762 Tibbetts StRiverside, CA 92506-2605
Phone(949) 414-7246
Organization SubpartNo
Authorized OfficialYi Cai Isaac TongMember/ceo · (917) 745-6888
Enumeration DateApril 16, 2024
Last NPPES UpdateAugust 20, 20242 updates tracked since enumeration
NPPES CertifiedAugust 20, 2024
✔ NPI 1487408316 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
3762 TIBBETTS ST, 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 05D2325992

White Pine Surgery Center · Riverside, CA
Active · expires Jun 23, 2027
CLIA Number05D2325992
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 24, 2025
Certificate Expiration DateJune 23, 2027
Laboratory DirectorYi Cai Isaac Tong
Laboratory Phone(949) 414-7246
Laboratory LocationWhite Pine Surgery Center3762 Tibbett Street, Riverside, CA 92506
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

FACULTY MEDICAL GROUP OF LLUSM
Transplant Surgery
3762 TIBBETTS ST
RIVERSIDE, CA 92506
Riverside County (909) 558-3111
ASPEN ANESTHESIA GROUP INC
Anesthesiology
3762 TIBBETTS ST
RIVERSIDE, CA 92506
Riverside County (949) 414-7246
DR. YI CAI ISAAC TONG M.D.
Pain Medicine (Interventional Pain Medicine)
3762 TIBBETTS ST
RIVERSIDE, CA 92506
Riverside County (949) 414-7246
EVERGREEN SPINE AND PAIN CENTERS
Pain Medicine (Interventional Pain Medicine)
3762 TIBBETTS ST
RIVERSIDE, CA 92506
Riverside County (949) 414-7246
DR. CHONGHUA WANG M.D.
Pain Medicine (Interventional Pain Medicine)
3762 TIBBETTS ST
RIVERSIDE, CA 92506
Riverside County (949) 414-7246
FACULTY PHYSICIANS AND SURGEONS OF LLUSM
Surgery
3762 TIBBETTS ST
RIVERSIDE, CA 92506
Riverside County (951) 686-2224

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 White Pine Surgery Center's NPI number?

The NPI number for White Pine Surgery Center is 1487408316. It was assigned to this organization in the NPPES registry on April 16, 2024.

Where is White Pine Surgery Center located?

White Pine Surgery Center is located at 3762 Tibbetts St, Riverside, CA 92506. The listed phone number is (949) 414-7246.

What is White Pine Surgery Center's specialty?

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

Does White Pine Surgery Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2325992) is associated with this NPI, valid through June 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for White Pine Surgery Center was last updated on August 20, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.