NPIMap

Individual provider Active NPI

Jorge A Rivero, MD

  • Geriatric Medicine (Family Medicine) Physician
  • Laguna Hills, CA
National Provider Identifier
1013097260
Registry record updated Dec 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Family Medicine) PhysicianTaxonomy code 207QG0300X
License
000000A45653 Issued in CA
Practice address
23521 Paseo de Valencia
Suite 108
Laguna Hills, CA 92653-3107
Phone
(949) 588-7262
Fax
(949) 588-7260
NPI assigned
Oct 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 14, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Family Medicine) Physician 207QG0300X 000000A45653 CA Primary

Addresses

Primary practice location

23521 Paseo de Valencia
Suite 108
Laguna Hills, CA 92653-3107

Mailing address

23521 Paseo de Valencia
Suite 108
Laguna Hills, CA 92653-3107
Phone (949) 588-7262

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050314001108 CA Practitioner - Family PracticePractitioner - Geriatric Medicine 8527013499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

23521 Pasco de Valencia
Suite 108
Laguna Hills, CA 92653-3137
Phone (949) 588-7262

Hospital & facility affiliations

  • Care Plus Home Health Home health agency, Laguna Hills, CA, CCN 059376
  • Vitas Healthcare Corporation of California Hospice, San Diego, CA, CCN 051597
  • Memorialcare Saddleback Medical Center Hospital, Laguna Hills, CA, CCN 050603
  • Hoag Memorial Hospital Presbyterian Hospital, Newport Beach, CA, CCN 050224
  • San Juan Hills Healthcare Center Nursing home, San Juan Capistrano, CA, CCN 555763

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
000000A45653CAMDGeriatric Medicine (Family Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Howard Cohen D.O. C.M.D., Inc. Current Accepting new patients
Jorge a. Rivero, M.D., Inc. Geriatric Medicine CurrentSince Apr 19, 2014 Accepting new patients
Nermine Morcos, M.D., Inc. Current Accepting new patients
Tommy L. Hicks, M.D., Inc. Current Accepting new patients
Homer Kam Yun Lew,D.O.,a Medical Corporation Current Accepting new patients
Lori Clark M.D., Inc. Current Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
University of California Irvine Past Accepting new patients

Locations

23521 Paseo de Valencia
Laguna Hills, CA 92653
Phone (949) 588-7262

23521 Paseo de Valencia
Ste 108
Laguna Hills, CA 92653
Phone (949) 396-1389

655 Camino de los Mares
Ste 122
San Clemente, CA 92673
Phone (949) 588-7262

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: jorge.rivero.1@11277.direct.athenahealth.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Seasons of Life Hospice, LLCLake Forest, CA, CCN 551773 Hospice 5% Or Greater Direct Ownership Interest (14.29%) Feb 29, 2012

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 8

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.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197590400000",
    "number": "1013097260",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-588-7262",
            "fax_number": "949-588-7260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23521 PASEO DE VALENCIA",
            "address_2": "SUITE 108",
            "city": "LAGUNA HILLS",
            "state": "CA",
            "postal_code": "926533107",
            "telephone_number": "949-588-7262",
            "fax_number": "949-588-7260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "JORGE",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-16",
        "last_updated": "2007-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QG0300X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "000000A45653",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Laguna Hills, CA

Sources for this page

Verify at the official NPI Registry.