Individual provider Active NPI

Carmina Rivera-Leal

  • Assisted Living Facility
  • Anchorage, AK
National Provider Identifier
1063380616
Registry record updated Oct 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
License
102074 Issued in AK
Practice address
8324 Wilcox St
Anchorage, AK 99502-4161
Phone
(907) 947-7691
NPI assigned
Oct 27, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X 102074 AK Primary
Home Health Aide 374U00000X 102074 AK

Addresses

Primary practice location

8324 Wilcox St
Anchorage, AK 99502-4161

Mailing address

8324 Wilcox St
Anchorage, AK 99502-4161
Phone (907) 947-7691

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
102074AKMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
CJC LLC Assisted Living Facility Current Accepting new patients
CJC LLC Assisted Living Facility CurrentSince Nov 30, 2025 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1761523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1761523200000",
    "number": "1063380616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8324 WILCOX ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024161",
            "telephone_number": "907-947-7691"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8324 WILCOX ST",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995024161",
            "telephone_number": "907-947-7691"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA-LEAL",
        "first_name": "CARMINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-10-27",
        "last_updated": "2025-10-27",
        "certification_date": "2025-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "AK",
            "license": "102074",
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "AK",
            "license": "102074",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2025; 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.