Patricia Rivas, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

50516 Issued in CA

Practice address

13975 Mono Way Ste I
Sonora, CA 95370-2824

Phone

(209) 533-9603

Fax

(209) 533-9604

NPI assigned

Jun 3, 2006

Sex

Female

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, TX2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: patricia.rivas.p1@direct.macthealth.nextgenshare.com

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.

• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1366519431

  TX

  Medicare reassignment
• Cherag Dinshaw Sarkari DDS a Dental Corporation

  • General Practice Dentistry
  • Stockton, CA
  • NPI 1336203074
  NPD (past)
• M a C T Health Board Incorporated

  • Clinic/Center
  • Jackson, CA
  • NPI 1295727287
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1467444364
  NPD (past)
• M a C T Health Board Incorporated

  • Federally Qualified Health Center (FQHC)
  • Sonora, CA
  • NPI 1548086820
  NPD (past)
• M a C T Health Board, Incorporated

  • General Practice Dentistry
  • Angels Camp, CA
  • NPI 1417505918
  NPD (past)
• M a C T Health Board, Incorporated

  • Federally Qualified Health Center (FQHC)
  • Mariposa, CA
  • NPI 1497447916
  NPD (past)
• M a C T Health Board, Incorporated

  • Federally Qualified Health Center (FQHC)
  • San Andreas, CA
  • NPI 1528508488

  Dentist

  NPD (past)
• Western Dental Services, Inc.

  • Dentist
  • Stockton, CA
  • NPI 1487128054
  NPD (past)

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1104864818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18933 RANCH RD",
            "city": "JAMESTOWN",
            "state": "CA",
            "postal_code": "953279155",
            "telephone_number": "916-549-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 MONO WAY STE I",
            "city": "SONORA",
            "state": "CA",
            "postal_code": "953702824",
            "telephone_number": "209-533-9603",
            "fax_number": "209-533-9604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "PATRICIA",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "50516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joanne Linda Rios, CNS
• Robyn Alison Ritchie, D.D.S.
• Kathy Noelani Roberson, RN, PHN
• Levi Robertson
• Astrida V Rockwell
• Jacey Jean Rodriguez-Serva, F.N.P.
• Jodie Rodriguez, RD

• All providers in Sonora, CA
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.