EVERGREEN SPINE AND PAIN CENTERS
NPI 1760159198
Pain Medicine - Interventional Pain Medicine in Riverside, CA

Active since August 24, 2021
3762 TIBBETTS ST, RIVERSIDE, CA 92506(949) 414-7246 Get Directions Write a Review

NPPES record last updated: August 30, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 20, 2024, Aug 1, 2024, Aug 23, 2022 and 4 more (7 updates tracked since 2021).

About Evergreen Spine And Pain Centers NPPES

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

EVERGREEN SPINE AND PAIN CENTERS (NPI 1760159198) is a healthcare organization registered as an interventional pain medicine in Riverside, California and active in the NPI registry since August 2021. The organization maintains 3 additional practice locations and lists Yi Cai Isaac Tong, Ceo, as its authorized official.

NPPES Registry Identity

NPI1760159198
Entity TypeOrganization
Primary Taxonomy208VP0014X
Legal Business NameEVERGREEN SPINE AND PAIN CENTERS
Location Address3762 TIBBETTS STRiverside, CA 92506-2605
Mailing Address3762 Tibbetts StRiverside, CA 92506-2605
Organization SubpartNo
Authorized OfficialYi Cai Isaac TongCeo · (917) 745-6888
Enumeration DateAugust 24, 2021
Last NPPES UpdateAugust 30, 20247 updates tracked since enumeration
NPPES CertifiedAugust 30, 2024
✔ NPI 1760159198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPain Medicine · Interventional Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code208VP0014X
Definition
Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.
Also ListedAnesthesiologyTaxonomy 207L00000X
Also ListedAnesthesiology · Pain MedicineTaxonomy 207LP2900X
3762 TIBBETTS ST, Riverside, CA 92506

Secondary Practice Locations 3

Location 110961 Westminster AveGarden Grove, CA 92843-4929 · Phone (949) 414-7246
Location 28965 Magnolia AveRiverside, CA 92503-4432 · Phone (951) 689-5788
Location 317040 Arnold DrRiverside, CA 92518-2813 · Phone (951) 238-6803

Group Practice 2

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

Evergreen Spine And Pain Centers is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

6

Medicare enrollment records show 6 clinicians reassign Medicare billing to Evergreen Spine And Pain Centers, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 4 within 10 miles. They are listed nearest first.

Clinicians, nearest first (6)

Nurse Practitioner
NPI 1689063273
3762 TIBBETTS ST
Riverside, CA 92506
(949) 414-7246
✔ PECOSSame address
Pain Management
NPI 1659678837
3762 TIBBETTS ST
Riverside, CA 92506
(949) 414-7246
✔ PECOS✔ Accepts MedicareSame address
Nurse Practitioner
NPI 1780293332
6848 MAGNOLIA AVE STE 125
Riverside, CA 92506
(951) 289-9512
✔ PECOS✔ Accepts Medicare0.2 mi
Nurse Practitioner
NPI 1053037192
3657 VAN BUREN BLVD
Riverside, CA 92503
(909) 238-7966
✔ PECOS✔ Accepts Medicare3.3 mi
Nurse Practitioner
NPI 1114349651
11234 ANDERSON ST
Loma Linda, CA 92354
(909) 558-4000
✔ PECOS✔ Accepts Medicare10 mi
Physical Medicine and Rehabilitation
NPI 1881005817
22 CORPORATE PLAZA DR
Newport Beach, CA 92660
(949) 722-7038
✔ PECOS36 mi

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 Evergreen Spine And Pain Centers's NPI number?

The NPI number for Evergreen Spine And Pain Centers is 1760159198. It was assigned to this organization in the NPPES registry on August 24, 2021.

Where is Evergreen Spine And Pain Centers located?

Evergreen Spine And Pain Centers is located at 3762 Tibbetts St, Riverside, CA 92506. The listed phone number is (949) 414-7246.

What is Evergreen Spine And Pain Centers's specialty?

The primary specialty registered for this NPI is Pain Medicine, specializing in Interventional Pain Medicine, with taxonomy code 208VP0014X.

Is Evergreen Spine And Pain Centers enrolled in Medicare?

Yes. Evergreen Spine And Pain Centers is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Evergreen Spine And Pain Centers?

According to the CMS Revalidation Reassignment List (October 2026 release), 6 clinicians in 3 Medicare specialties reassign their Medicare billing to Evergreen Spine And Pain Centers. 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 (4), Pain Management (1) and Physical Medicine and Rehabilitation (1). Of these, 2 practice at this address and 4 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 Evergreen Spine And Pain Centers was last updated on August 30, 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.