Justin Jose Rivera, DPM

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E5546 Issued in CA

Practice address

104 Margaret LN Ste a
Grass Valley, CA 95945-5261

Phone

(530) 648-1234

Fax

(530) 648-1235

NPI assigned

May 14, 2016

Last updated

Nov 26, 2019By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sierra Nevada Memorial Hospital Hospital, Grass Valley, CA, CCN 050150

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Valley Foot & Ankle Specialists

  • Foot & Ankle Surgery Podiatrist
  • Grass Valley, CA
  • NPI 1093374464
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Sierra Nevada Memorial-Miners Hospital

  dba Sierra Nevada Memorial Hospital

  • General Acute Care Hospital
  • Grass Valley, CA
  • NPI 1659361392
  Care Compare affiliation

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

{
    "created_epoch": "1463184000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574726400000",
    "number": "1073960522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 MARGARET LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455261",
            "telephone_number": "530-648-1234",
            "fax_number": "530-648-1235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 MARGARET LN STE A",
            "city": "GRASS VALLEY",
            "state": "CA",
            "postal_code": "959455261",
            "telephone_number": "530-648-1234",
            "fax_number": "530-648-1235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "500 Gypsy Ln",
            "address_purpose": "LOCATION",
            "city": "Youngstown",
            "state": "OH",
            "postal_code": "445041315",
            "country_code": "US",
            "telephone_number": "330-884-3068",
            "fax_number": "330-884-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JUSTIN",
        "middle_name": "JOSE",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-05-14",
        "last_updated": "2019-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E5546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ridge Medical Group Inc.
• Ridgeline Health, Inc. (Ridgeline)
• Julie Riggs
• Danelle Garnett Riles, LCSW, MSW
• Chantell Marie Riley, LVN
• Allison Rivers
• Gracie Jae Roath
• Robert D. Morgan, D.C., Inc.
• Robert D.Morgan, D.C., Inc
• Angela Roberts

• Foot & Ankle Surgery Podiatrist in Grass Valley, CA
• Providers in Grass Valley, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2019; 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.

Verify at the official NPI Registry.