Organization Active NPI

Jose L. Rivas, M.D., a Professional Corporation

  • Specialist
  • Huntington Park, CA
National Provider Identifier
1104131242
Registry record updated Aug 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
A33853 Issued in CA
Legal business name
JOSE L. RIVAS, M.D., A PROFESSIONAL CORPORATION
Practice address
3100 E Florence Ave
Suite 7
Huntington Park, CA 90255-5848
Phone
(323) 583-6361
Fax
(323) 583-2923
NPI assigned
Aug 13, 2010
Last updated
Aug 13, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2010

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

Authorized official

Name
Jose L. Rivas, M.D.NPI 1801897681
Title
President
Phone
(323) 583-6361

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X A33853 CA Primary

Addresses

Primary practice location

3100 E Florence Ave
Suite 7
Huntington Park, CA 90255-5848

Mailing address

3100 E Florence Ave
Suite 7
Huntington Park, CA 90255-5848
Phone (323) 583-6361

National Provider Directory

National Provider Directory

Locations

3100 E Florence Ave
Ste 7
Huntington Pk, CA 90255
Phone (323) 583-6361

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1281657600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281657600000",
    "number": "1104131242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "SUITE 7",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-6361",
            "fax_number": "323-583-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "SUITE 7",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-6361",
            "fax_number": "323-583-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSE L. RIVAS, M.D., A PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-13",
        "last_updated": "2010-08-13",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "JOSE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "323-583-6361",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CA",
            "license": "A33853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2010; 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.