Orcutt, California · Opening October 2026

Advanced outpatient surgery, close to home.

RIVA Surgery Center brings orthopedic surgery and pain management to North Santa Barbara County — built by the surgeons of ALTA Orthopaedics in partnership with Cottage Health.

Explore our specialties Get opening updates

Visit us

Address
1620 E. Clark Ave., Suite 101
Orcutt, CA 93455
Hours
Monday – Friday, 7:00 AM – 5:00 PM
Phone
(510) 513-5747

Surgeons you already know

The fellowship-trained surgeons of ALTA Orthopaedics — who have cared for Central Coast patients for more than 30 years — operate here.

Care close to home

Patients from Solvang to Paso Robles can have surgery without a drive over the pass — with recovery and follow-up in the same community.

Cottage Health partnership

A physician-owned center built with Cottage Health, connecting your outpatient procedure to the region’s broader network of care.

What we do

Specialties

RIVA opens with seven orthopedic and pain management service lines, and is designed to expand its scope over time.

Sports Medicine

ACL and meniscus repair, rotator cuff, shoulder instability, and arthroscopic procedures.

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Hip & Knee Replacement

Outpatient total and partial joint replacement with same-day discharge protocols.

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Shoulder Surgery

Rotator cuff repair, shoulder replacement, and treatment for instability and tendon disease.

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Hand & Upper Extremity

Carpal tunnel release, trigger finger, fracture fixation, and elbow tendon procedures.

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Foot & Ankle

Bunion correction, ankle arthroscopy, tendon repair, and fracture care.

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Spine Surgery

Outpatient decompression and minimally invasive procedures for neck and back pain.

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Pain Management

Interventional procedures with a focus on non-opioid approaches to chronic pain.

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Our team

Physicians

RIVA Surgery Center is owned by its surgeons in partnership with Cottage Health. All are members of ALTA Orthopaedics.

Christopher Birch, MD

Christopher Birch, MD

Hip & Knee

ALTA Orthopaedics

Eli Kupperman, MD

Eli Kupperman, MD

Sports Medicine

ALTA Orthopaedics

Amy Wickman, MD

Amy Wickman, MD

Spine

ALTA Orthopaedics

Michael Kenly, MD

Michael Kenly, MD

Pain Management

ALTA Orthopaedics

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For referring offices

Scheduling a case at RIVA

We are building our scheduling workflow now. Offices referring to RIVA should be ready to send:

  • History & physical completed within 30 days
  • Relevant labs and imaging
  • Insurance authorization
  • Implant and equipment requests in advance of the case

Find us

1620 E. Clark Ave.

Address
1620 E. Clark Ave., Suite 101
Orcutt, CA 93455
Hours
Monday – Friday, 7:00 AM – 5:00 PM
Phone
(510) 513-5747

Landmark: RIVA is on E. Clark Avenue in Orcutt, next to Cottage Urgent Care. Free surface parking is available directly in front of the entrance.

Map embed — to be added

Know when we open

RIVA Surgery Center opens in October 2026. We’ll send one email when we begin scheduling. That’s it.

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RIVA Surgery Center is owned in part by the physicians who perform procedures here. Santa Barbara North County ASC, LLC · An affiliate of Cottage Health.