Riviera Surgical Center LLC
NPI 1073107850 · Ambulatory Surgical Clinic/Center · Bullhead City, AZ
Enrolled with Medicare as Part B Supplier - Ambulatory Surgical Center · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Riviera Surgical Center LLC is a Ambulatory Surgical Clinic/Center organization in Bullhead City, AZ (NPI 1073107850).
Provider details
- NPI number
- 1073107850
- Entity type
- Organization
- Primary specialty
- Ambulatory Surgical Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jack Diep, Administrator(928) 505-7246
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
130 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Insertion of Tube for Infusion With Imaging Guidance and Review By Radiologist, Patient Younger Than 5 Years36572 | 54 | $220 |
| Insertion of Spinal Neurostimulator Electrode Array Through Skin63650 | 38 | $4,566 |
| Removal of Bone From Lower Spine for Decompression of Nerve Tissue Using Imaging Guidance, Accessed Through the Skin0275T | 13 | $4,669 |
| Insertion Or Replacement of Spinal Neurostimulator Generator Or Receiver63685 | 13 | $21,049 |
| Heat Destruction of Intraosseous Basivertebral Nerve in Bones of Spine in Lower Back, First Two Bones64628 | 12 | $8,671 |
Typical Medicare-allowed amounts for these services range $220–$21,049 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Practice location
Mailing address
Registry dates
- Enumerated
- 2021-02-23
- Last updated
- 2025-12-17
- Certified
- 2025-12-17
Frequently asked questions
- What is Riviera Surgical Center LLC's NPI number?
- Riviera Surgical Center LLC's National Provider Identifier (NPI) is 1073107850, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Riviera Surgical Center LLC?
- Riviera Surgical Center LLC is classified in the NPPES registry as Ambulatory Surgical Clinic/Center (Ambulatory Health Care Facilities).
- Where is Riviera Surgical Center LLC located?
- Riviera Surgical Center LLC's practice location on file with NPPES is 3003 Az-95, Bullhead City, AZ 86442.
- What is Riviera Surgical Center LLC's phone number?
- The practice phone number listed in the NPPES registry for Riviera Surgical Center LLC is (909) 994-5105.
- Does Riviera Surgical Center LLC accept Medicare?
- Riviera Surgical Center LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Riviera Surgical Center LLC?
- The authorized official listed on Riviera Surgical Center LLC's NPPES record is Jack Diep, Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Riviera Surgical Center LLC's NPI active?
- Yes — Riviera Surgical Center LLC's NPI (1073107850) is active in the NPPES registry as of the last update on 2025-12-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.