Active NPI
Eliza Rivera-Mitu, PMHNP-BC, FNP-C
- Primary Care Nurse Practitioner
- Fountain Valley, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- 23310
- Practice address
- 11100 Warner Ave Ste 162
Fountain Valley, CA 92708-7510 - Phone
- (562) 786-6723
- Fax
- (562) 786-6956
- NPI assigned
- Mar 6, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | 23310 | CA | Primary |
| Registered Nurse | 163W00000X | 507599 | CA | |
| Family Nurse Practitioner | 363LF0000X | 23310 | CA | |
| Adult Health Nurse Practitioner | 363LA2200X | 23310 | CA | |
| Health Educator | 174H00000X | 507599 | CA | |
| Psychiatric/Mental Health Nurse Practitioner | 363LP0808X | 23310 | CA |
Addresses
Primary practice location
11100 Warner Ave Ste 162
Fountain Valley, CA 92708-7510
Mailing address
21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512
Phone (562) 786-6723
Other practice location 1
21515 Hawthorne Blvd Ste 200
Torrance, CA 90503-6512
Phone (562) 786-6723
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 251KFFVQ | Medicaid | CA | |
| 23310 | Other | CA | BOARD OF REGISTERED NURSING LICENSE NUMBER |
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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
21515 Hawthorne Blvd
Suite 200
Torrance, CA 90503-6512
Phone (562) 786-6723
2390 Crenshaw Blvd
Suite E254
Torrance, CA 90501-3300
Hospital & facility affiliations
- Quality Home Health Care, Inc
- Sunnyland Home Health Care, Inc
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Arts, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eliza Rivera Mitu Aprn FNP C a Professional Nursing Corporation | Psychiatric/Mental Health | Current | Accepting new patients |
| Baart Community Healthcare | Current | Accepting new patients | |
| Baart Community Healthcare | Current | Accepting new patients | |
| Baart Community Healthcare | Current | Accepting new patients |
Locations
11100 Warner Ave
Ste 162
Fountain Vly, CA 92708
Phone (714) 432-1212
1926 Beverly Blvd
Los Angeles, CA 90057
Phone (213) 353-1140
1701 Zonal Ave
Los Angeles, CA 90033
Phone (323) 223-6146
21515 Hawthorne Blvd
Ste 200
Torrance, CA 90503
Phone (310) 371-7984
2390 Crenshaw Blvd
Ste E254
Torrance, CA 90501
Phone (562) 661-8974
1720 Lakepointe Dr
Ste 117
Lewisville, TX 75057
Organizations & group practices 5
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.
-
- Primary Care Nurse Practitioner
- Fountain Valley, CA
- NPI 1780326280
Psychiatric/Mental Health
-
- Primary Care Clinic/Center
- Los Angeles, CA
- NPI 1497127328
-
- Clinic/Center
- Los Angeles, CA
- NPI 1306276407
-
- Community Health Clinic/Center
- San Francisco, CA
- NPI 1982781159
-
- Substance Use Disorder Rehabilitation Clinic/Center
- Durham, NC
- NPI 1376075556
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- West Covina, CA
- NPI 1104885318
-
- Home Health Agency
- Glendale, CA
- NPI 1336629674
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1362528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781827200000",
"number": "1104167758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21515 HAWTHORNE BLVD STE 200",
"city": "TORRANCE",
"state": "CA",
"postal_code": "905036512",
"telephone_number": "562-786-6723",
"fax_number": "562-786-6956"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11100 WARNER AVE STE 162",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927087510",
"telephone_number": "562-786-6723",
"fax_number": "562-786-6956"
}
],
"practiceLocations": [
{
"address_1": "21515 Hawthorne Blvd Ste 200",
"address_purpose": "LOCATION",
"city": "Torrance",
"state": "CA",
"postal_code": "905036512",
"country_code": "US",
"telephone_number": "562-786-6723",
"fax_number": "562-786-6956",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA-MITU",
"first_name": "ELIZA",
"credential": "PMHNP-BC, FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-03-06",
"last_updated": "2026-06-19",
"certification_date": "2026-06-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "CA",
"license": "23310",
"primary": true
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "507599",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "CA",
"license": "23310",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "CA",
"license": "23310",
"primary": false
},
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "507599",
"primary": false
},
{
"code": "363LP0808X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Psychiatric/Mental Health",
"state": "CA",
"license": "23310",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "251KFFVQ",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF REGISTERED NURSING LICENSE NUMBER",
"identifier": "23310",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2026; 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.