Individual provider Active NPI

Obianuju Rivera, FNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Riverside, CA
National Provider Identifier
1003104167
Registry record updated Jun 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
20775 Issued in CA
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

Updated by the provider on Jun 20, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120215000289 CA Practitioner - Nurse Practitioner 2961660311 Reassigns benefits to 1 organization

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
Mark David Levine MD Professional CorporationGroup PAC ID 0143478305, 165 clinicians

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

OrganizationSpecialtyStatusNew patients
Mark David Levine, MD Burlingame PC CurrentSince Jul 22, 2024 Accepting new patients
Mark David Levine M.D. Professional Corporation Psychiatric/Mental Health CurrentSince Jul 22, 2024 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.