Judith Rivera, NP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

8793 Issued in CA

Practice address

600 Anton Blvd FL 11
Costa Mesa, CA 92626-7100

Phone

(623) 374-7774

Fax

(855) 420-6361

NPI assigned

Jul 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

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.

• Careathome Medical Practice Ca PC

  • Family Nurse Practitioner
  • Newport Beach, CA
  • NPI 1306516174

  Single Specialty

  NPD (past)
• Sip DC Ca, Inc

  • Geriatric Medicine (Family Medicine) Physician
  • Costa Mesa, CA
  • NPI 1588056014

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1405641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534982400000",
    "number": "1023425352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14780 W MOUNTAIN VIEW BLVD STE 110",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853747280",
            "telephone_number": "623-374-7774",
            "fax_number": "855-420-6361"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ANTON BLVD FL 11",
            "city": "COSTA MESA",
            "state": "CA",
            "postal_code": "926267100",
            "telephone_number": "623-374-7774",
            "fax_number": "855-420-6361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2810 Camino Del Rio S",
            "address_2": "Suite 102",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921083818",
            "country_code": "US",
            "telephone_number": "619-299-1419",
            "fax_number": "858-461-6008",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUDITH",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-18",
        "last_updated": "2018-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "8793",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "CA",
            "license": "8793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brenda Liseth Rivera
• Fatima Rivera
• Jennifer Rivera
• Jennifer Jazmine Rivera, MSW
• Jocelyn Rivera
• Natalie Marie Rivera
• Roberto Omar Rivera Jr., DC
• Winslow Rnoh
• Robert R Johnson Medical Corp (Johnson & Johnson Psychiatric Care)
• Robert S. Glass, O.D. a Professional Corporation

• Nurse Practitioner in Costa Mesa, CA
• Providers in Costa Mesa, CA by specialty
• Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.