Active NPI
Riva Health Provider Group PA
- Cardiovascular Disease Physician
- Denver, CO
National Provider Identifier
1053067363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- Legal business name
- RIVA HEALTH PROVIDER GROUP PA
- Practice address
- 1624 Market St Ste 226
Denver, CO 80202-1559 - Phone
- (925) 695-5094
- Fax
- (310) 626-0149
- NPI assigned
- Feb 24, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Glenn Hirsch
- Title
- Medical Director
- Phone
- (720) 500-3889
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | Primary | ||
| Interventional Cardiology Physician | 207RI0011X |
Addresses
Primary practice location
1624 Market St Ste 226
Denver, CO 80202-1559
Mailing address
728 Lexington Way
Burlingame, CA 94010-2750
Phone (925) 695-5094
Other practice location 1
382 NE 191st St
Miami, FL 33179-3899
Phone (720) 500-3889
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645660800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1689033600000",
"number": "1053067363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "728 LEXINGTON WAY",
"city": "BURLINGAME",
"state": "CA",
"postal_code": "940102750",
"telephone_number": "925-695-5094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1624 MARKET ST STE 226",
"city": "DENVER",
"state": "CO",
"postal_code": "802021559",
"telephone_number": "925-695-5094",
"fax_number": "310-626-0149"
}
],
"practiceLocations": [
{
"address_1": "382 NE 191st St",
"address_purpose": "LOCATION",
"city": "Miami",
"state": "FL",
"postal_code": "331793899",
"country_code": "US",
"telephone_number": "720-500-3889",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "RIVA HEALTH PROVIDER GROUP PA",
"organizational_subpart": "NO",
"enumeration_date": "2022-02-24",
"last_updated": "2023-07-11",
"certification_date": "2023-07-11",
"status": "A",
"authorized_official_last_name": "HIRSCH",
"authorized_official_first_name": "GLENN",
"authorized_official_title_or_position": "MEDICAL DIRECTOR",
"authorized_official_telephone_number": "720-500-3889"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": null,
"license": null,
"primary": true
},
{
"code": "207RI0011X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Internal Medicine, Interventional Cardiology",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Denver, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.