Active NPI
Jovani Rioja
- Nurse Practitioner
- Anaheim, CA
National Provider Identifier
1033940275
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 95018269
- Practice address
- 3440 E la Palma Ave
Anaheim, CA 92806-2020 - Phone
- (714) 423-4168
- NPI assigned
- Aug 9, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 95018269 | CA | Primary |
Addresses
Primary practice location
3440 E la Palma Ave
Anaheim, CA 92806-2020
Mailing address
14561 San Feliciano Dr
La Mirada, CA 90638-4345
Phone (714) 423-4168
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250812001852 | CA | Order and Referring Only - Nurse Practitioner | 3476051152 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723161600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723161600000",
"number": "1033940275",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14561 SAN FELICIANO DR",
"city": "LA MIRADA",
"state": "CA",
"postal_code": "906384345",
"telephone_number": "714-423-4168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3440 E LA PALMA AVE",
"city": "ANAHEIM",
"state": "CA",
"postal_code": "928062020",
"telephone_number": "714-423-4168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIOJA",
"first_name": "JOVANI",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-08-09",
"last_updated": "2024-08-09",
"certification_date": "2024-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "95018269",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Anaheim, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.