Individual provider Active NPI

Jasmine Sanchez Rivas

  • Dentist
  • Hayward, CA
National Provider Identifier
1083298863
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
107543 Issued in CA
Practice address
22331 Mission Blvd
Hayward, CA 94541-3911
Phone
(510) 471-5880
NPI assigned
May 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 107543 CA Primary

Addresses

Primary practice location

22331 Mission Blvd
Hayward, CA 94541-3911

Mailing address

22331 Mission Blvd
Hayward, CA 94541-3911
Phone (510) 471-5880

Other practice location 1

680 W Tennyson Rd Rm 12
Hayward, CA 94544-5236
Phone (510) 471-5880

Other practice location 2

28300 Huntwood Ave
Hayward, CA 94544-5425
Phone (510) 471-5880

Other practice location 3

33255 9th St
Union City, CA 94587-2137
Phone (510) 471-5880

Other practice location 4

16110 E 14th St
Ashland, CA 94578-3002
Phone (510) 471-5880

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230103002355 CA Order and Referring Only - DentistPractitioner - Dentist 2769852003

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
107543CAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Tiburcio Vasquez Health Center, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jsanchezrivas791627@direct.ochin.org

Organizations & group practices 1

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": "1620432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1083298863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22331 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413911",
            "telephone_number": "510-471-5880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22331 MISSION BLVD",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413911",
            "telephone_number": "510-471-5880"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 W Tennyson Rd Rm 12",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945445236",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "28300 Huntwood Ave",
            "address_purpose": "LOCATION",
            "city": "Hayward",
            "state": "CA",
            "postal_code": "945445425",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "33255 9th St",
            "address_purpose": "LOCATION",
            "city": "Union City",
            "state": "CA",
            "postal_code": "945872137",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "16110 E 14th St",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "CA",
            "postal_code": "945783002",
            "country_code": "US",
            "telephone_number": "510-471-5880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SANCHEZ RIVAS",
        "first_name": "JASMINE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-08",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "107543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hayward, CA

Sources for this page

Verify at the official NPI Registry.