Active NPI
Obianuju Rivera, FNP
- Psychiatric/Mental Health Nurse Practitioner
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric/Mental Health Nurse Practitioner
- License
- 20775
- Practice address
- 3801 University Ave Ste 270
Riverside, CA 92501-3272 - Phone
- (855) 427-2778
- Fax
- (951) 530-3997
- NPI assigned
- Jul 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Nurse Practitioner | 363LF0000X | 20775 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 20775 | CA | Primary |
Addresses
Primary practice location
3801 University Ave Ste 270
Riverside, CA 92501-3272
Mailing address
3835 N Freeway Blvd Ste 100
Sacramento, CA 95834-1954
Phone (916) 576-7900
Other practice location 1
30195 Fraser Dr
Lake Elsinore, CA 92530-7006
Phone (951) 252-2720
Other names 1
- Uju Rivera
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
3801 University Ave
Suite 270
Riverside, CA 92501-3272
Phone (855) 501-1004
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mark David Levine, MD Burlingame PC | Current | Accepting new patients | |
| Mark David Levine M.D. Professional Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Community Health Systems, Inc. | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Clinicas del Camino Real Inc | Past | Accepting new patients | |
| Indiana University Health Ball Memorial Hospital, Inc. | Past | Accepting new patients |
Locations
3801 University Ave
Ste 270
Riverside, CA 92501
Phone (951) 200-8575
3835 N Freeway Blvd
Ste 100
Sacramento, CA 95834
Phone (916) 576-7898
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/WKlSSS89qvhKmD7tJUsOt0whh7EBmDD-/
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Sacramento, CA
- NPI 1154697944
Psychiatric/Mental Health
-
- Psychiatry Physician
- San Mateo, CA
- NPI 1770709263
-
- Community Health Clinic/Center
- Oxnard, CA
- NPI 1235866138
-
- Federally Qualified Health Center (FQHC)
- Ventura, CA
- NPI 1679631907
-
- Federally Qualified Health Center (FQHC)
- Bloomington, CA
- NPI 1952308009
-
- General Acute Care Hospital
- Muncie, IN
- NPI 1225195340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1310342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687219200000",
"number": "1003104167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3835 N FREEWAY BLVD STE 100",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958341954",
"telephone_number": "916-576-7900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3801 UNIVERSITY AVE STE 270",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925013272",
"telephone_number": "855-427-2778",
"fax_number": "951-530-3997"
}
],
"practiceLocations": [
{
"address_1": "30195 Fraser Dr",
"address_purpose": "LOCATION",
"city": "Lake Elsinore",
"state": "CA",
"postal_code": "925307006",
"country_code": "US",
"telephone_number": "951-252-2720",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "OBIANUJU",
"credential": "FNP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-11",
"last_updated": "2023-06-20",
"certification_date": "2023-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "20775",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "20775",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "UJU",
"last_name": "RIVERA",
"credential": "FNP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.