Individual provider Active NPI

Gaspar Rivera, M.D.

  • Pediatrics Physician
  • San Francisco, CA
National Provider Identifier
1053754499
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A132585 Issued in CA
Practice address
1001 Potrero Avenue BLDG. 5, #6M
San Francisco, CA 94110-3518
Phone
(628) 206-8361
NPI assigned
Apr 16, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X A132585 CA Primary

Addresses

Primary practice location

1001 Potrero Avenue BLDG. 5, #6M
San Francisco, CA 94110-3518

Mailing address

PO Box 743749
Los Angeles, CA 90074-3749

Other practice location 1

855 3rd Ave Ste 2200
Chula Vista, CA 91911-1353
Phone (619) 662-4100

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220822000576 CA Practitioner - Pediatric Medicine 9032592217 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A132585CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
City & County of San Francisco CurrentSince Jan 24, 2023 Accepting new patients
University of California San Francisco CurrentSince May 6, 2022 Accepting new patients
University of California SFGH Medical Group Current Accepting new patients
University of California SFGH Medical Group CurrentSince Feb 1, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 6, 2022 Accepting new patients
City & County of San Francisco Current Accepting new patients
City and County of San Francisco CurrentSince Jan 24, 2023 Accepting new patients
UCSF Medical Group Business Services CurrentSince May 6, 2022 Accepting new patients
UCSF Pediatrics Associates Pediatrics CurrentSince May 6, 2022 Accepting new patients
University of California SFGH Medical Group CurrentSince Feb 1, 2023 Accepting new patients
University of California San Francisco Pediatrics CurrentSince May 6, 2022 Accepting new patients
University of California San Francisco Medical Center Past Accepting new patients
UCSF Health Medical Foundation Past Accepting new patients

Locations

747 52nd St
Oakland, CA 94609
Phone (510) 428-3070

5220 Claremont Ave
Oakland, CA 94618
Phone (510) 428-3129

1001 Potrero Ave
Bldg 5
San Francisco, CA 94110
Phone (628) 206-5753

1001 Potrero Ave
Rm 5H22
San Francisco, CA 94110
Phone (628) 206-4774

400 Parnassus Ave
#A632
San Francisco, CA 94143
Phone (415) 473-1000

505 Parnassus Ave
San Francisco, CA 94143
Phone (415) 476-9058

2001 The Embarcadero
Ste 1500
San Francisco, CA 94143
Phone (415) 353-1606

1001 Potrero Ave
#5H26
San Francisco, CA 94110
Phone (628) 206-8361

2330 Post St
San Francisco, CA 94115
Phone (415) 502-4444

1001 Potrero Ave
San Francisco, CA 94110
Phone (415) 206-2305

Organizations & group practices 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1053754499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE BLDG. 5, #6M",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941103518",
            "telephone_number": "628-206-8361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "855 3rd Ave Ste 2200",
            "address_purpose": "LOCATION",
            "city": "Chula Vista",
            "state": "CA",
            "postal_code": "919111353",
            "country_code": "US",
            "telephone_number": "619-662-4100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "GASPAR",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A132585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Francisco, CA

Sources for this page

Verify at the official NPI Registry.