RIVERWALK SURGERY CENTER
NPI 1497011308
Clinic/Center - Ambulatory Surgical in Riverside, CA

NPI Status: Active since April 04, 2012

Contact Information

4244 RIVERWALK PKWY
SUITE 200
RIVERSIDE, CA
ZIP 92505
Phone: (951) 321-0100
Fax: (951) 321-0131

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 05D2048009
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 01-11-2026

About RIVERWALK SURGERY CENTER

This page provides the complete NPI Profile along with additional information for Riverwalk Surgery Center, a provider established in Riverside, California operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1497011308 assigned on April 2012. The practitioner's primary taxonomy code is 261QA1903X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Riverwalk Surgery Center. The authorized official of this NPI record is Dr. Benjamin D Chung M.d. (Owner / Medical Director)

NPI
1497011308
Provider Legal Name
BENJAMIN CHUNG MD INC
Other Organization Name
RIVERWALK SURGERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
4244 RIVERWALK PKWY SUITE 200 RIVERSIDE, CA 92505
Location Phone
(951) 321-0100
Location Fax
(951) 321-0131
Mailing Address
4244 RIVERWALK PKWY SUITE 210 RIVERSIDE, CA 92505
Mailing Phone
(951) 321-0100
Mailing Fax
(951) 321-0131
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-04-2012
Last Update Date
04-11-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. BENJAMIN D CHUNG M.D.

Authorized Official Title
OWNER / MEDICAL DIRECTOR
Authorized Official Phone
(951) 321-0100

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope

This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.

This service was performed 28 times for 28 patients

Removal of polyps or growths of large bowel using a flexible endoscope with electrical cautery

This procedure involves using a flexible tube with a camera, called an endoscope, to view the large intestine. If any abnormal growths or polyps are found, they are removed with an electrically-heated instrument. This is a common way to prevent bowel issues.

This service was performed 12 times for 12 patients

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
05D2048009
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
January 12, 2024
Certificate Expiration Date
January 11, 2026
Laboratory Director
BENJAMIN CHUNG
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Riverwalk Surgery Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1497011308, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 52. The final step is to find the difference between that total and the next multiple of ten (60 - 52 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
4
Unchanged
Pos 3
9
Doubled → 18 → 1 + 8
Pos 4
7
Unchanged
Pos 5
0
Doubled → 0
Pos 6
1
Unchanged
Pos 7
1
Doubled → 2
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 9 → 18 → 9 0 → 0 1 → 2 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 4 + 1 + 8 + 7 + 0 + 1 + 2 + 3 + 0 + 24 = 52

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 52 is 60. The difference is the calculated check digit.

60 - 52 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1497011308.

Other Providers at the Same Location


The following 6 providers are registered at the same or a nearby location.

Urology
4244 RIVERWALK PKWY, SUITE 240
RIVERSIDE, CA 92505
Nurse Practitioner
4244 RIVERWALK PKWY, STE. 170
RIVERSIDE, CA 92505
Nurse Practitioner (Family)
4244 RIVERWALK PKWY, SUITE 170
RIVERSIDE, CA 92505
Social Worker (Clinical)
4244 RIVERWALK PKWY
RIVERSIDE, CA 92505
Ophthalmology
4244 RIVERWALK PKWY, STE 100
RIVERSIDE, CA 92505
Counselor (Mental Health)
4244 RIVERWALK PKWY
RIVERSIDE, CA 92505

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1497011308, enumerated as an "organization" on April 04, 2012.

The provider is located at 4244 RIVERWALK PKWY SUITE 200 RIVERSIDE, CA 92505 and the phone number is (951) 321-0100.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.