Active NPI
Fernando Rivero, PA, MPAS, MPH
- Physician Assistant
- Layton, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10953254-1206
- Practice address
- 201 W Layton Pkwy Ste 1a
Layton, UT 84041-3692 - Phone
- (801) 543-6872
- NPI assigned
- Aug 20, 2018
- Last updated
- Dec 5, 2025
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 10953254-1206 | UT | Primary |
Addresses
Primary practice location
201 W Layton Pkwy Ste 1a
Layton, UT 84041-3692
Mailing address
PO Box 27128
Salt Lake City, UT 84127-0128
Other practice location 1
380 W 100 N Ste A
Monticello, UT 84535-7879
Phone (435) 587-5054
Other practice location 2
5555 S Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service | Other | Bluemark LLC / Office Ally |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ihc Health Services Inc
Practice addresses (Care Compare)
4401 Harrison Blvd
Ogden, UT 84403-3195
4403 Harrison Blvd
Suite 2600
Ogden, UT 84403-3277
Phone (801) 378-7450
5555 Old Airport Rd
Spanish Valley, UT 84532-5105
Phone (435) 587-1234
700 S Hwy 99
Suite 3
Fillmore, UT 84631-5137
Phone (801) 357-4600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10953254-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| San Juan County Hospital | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| Ihc Health Services Inc | Current | Accepting new patients | |
| San Juan County Hospital | Current | Accepting new patients | |
| San Juan County Hospital | Past | Accepting new patients |
Locations
1501 Hiland Ave
Burley, ID 83318
Phone (208) 678-4444
735 S 200 W
Ste 3
Blanding, UT 84511
Phone (435) 678-2254
5555 Old Airport Rd
Moab, UT 84532
Phone (435) 419-9210
5121 S Cottonwood St
Salt Lake Cty, UT 84107
Phone (801) 408-8998
1380 E Medical Center Dr
St George, UT 84790
Phone (435) 251-2992
1380 E Medical Center Dr
#P
St George, UT 84790
Phone (435) 251-2355
Interoperability endpoints
- https://fhir-myrecord.cerner.com/r4/d2bc3d5a-3c39-4553-86b1-b3aa0a5429a7/
Organizations & group practices 10
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba San Juan Clinic
- Rural Health Clinic/Center
- Monticello, UT
- NPI 1659315877
-
dba Two Rivers Community Health
- Federally Qualified Health Center (FQHC)
- Green River, UT
- NPI 1942317722
-
dba IMED Physicians Billing
- Multi-Specialty Clinic/Center
- Murray, UT
- NPI 1629260880
-
- Multi-Specialty Clinic/Center
- Sandy, UT
- NPI 1942325154
-
- Emergency Medicine Physician
- Salt Lake City, UT
- NPI 1588048979
-
dba Intermountain Professional Radiology Services
- Diagnostic Radiology Physician
- Murray, UT
- NPI 1285019737
-
dba San Juan Health
- Emergency Care Clinic/Center
- Monticello, UT
- NPI 1114121100
-
dba Spanish Valley Clinic
- Rural Health Clinic/Center
- Spanish Valley, UT
- NPI 1588978738
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Intermountain Health McKay-Dee Hospital
- General Acute Care Hospital
- Ogden, UT
- NPI 1194749580
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1534723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764892800000",
"number": "1063992022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 27128",
"city": "SALT LAKE CITY",
"state": "UT",
"postal_code": "841270128"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 W LAYTON PKWY STE 1A",
"city": "LAYTON",
"state": "UT",
"postal_code": "840413692",
"telephone_number": "801-543-6872"
}
],
"practiceLocations": [
{
"address_1": "380 W 100 N Ste A",
"address_purpose": "LOCATION",
"city": "Monticello",
"state": "UT",
"postal_code": "845357879",
"country_code": "US",
"telephone_number": "435-587-5054",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5555 S Old Airport Rd",
"address_purpose": "LOCATION",
"city": "Moab",
"state": "UT",
"postal_code": "84532",
"country_code": "US",
"telephone_number": "435-419-9210",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERO",
"first_name": "FERNANDO",
"credential": "PA, MPAS, MPH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-20",
"last_updated": "2025-12-05",
"certification_date": "2025-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "10953254-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://esmd.officeally.io:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
"affiliation": "Y",
"endpointDescription": "2.16.840.1.113883.3.2019.3",
"affiliationName": "Bluemark LLC / Office Ally",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "CMS esMD eMDR",
"address_1": "1300 SE Cardinal Ct Ste 190",
"city": "Vancouver",
"state": "WA",
"country_code": "US",
"postal_code": "986839683",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Layton, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.