Active NPI
Marcelo R. Rivera MD, Inc.
- Specialist
- Ramona, CA
National Provider Identifier
1114105780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G39240
- Legal business name
- MARCELO R. RIVERA MD, INC.
- Practice address
- 1516 Main St
#104
Ramona, CA 92065-5242 - Phone
- (760) 789-6044
- Fax
- (760) 789-3852
- NPI assigned
- Feb 6, 2008
- Last updated
- Feb 6, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Marcelo R Rivera, M.D.
- Title
- Owner
- Phone
- (858) 613-8743
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | G39240 | CA | Primary |
Addresses
Primary practice location
1516 Main St
#104
Ramona, CA 92065-5242
Mailing address
1516 Main St
#104
Ramona, CA 92065-5242
Phone (760) 789-6044
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
National Provider Directory
National Provider Directory- Tax ID family
- Marcelo R Rivera M D Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Specialist
- Poway, CA
- NPI 1700277951
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.
-
- Specialist
- Poway, CA
- NPI 1942311311
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202256000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1202256000000",
"number": "1114105780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1516 MAIN ST",
"address_2": "#104",
"city": "RAMONA",
"state": "CA",
"postal_code": "920655242",
"telephone_number": "760-789-6044",
"fax_number": "760-789-3852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 MAIN ST",
"address_2": "#104",
"city": "RAMONA",
"state": "CA",
"postal_code": "920655242",
"telephone_number": "760-789-6044",
"fax_number": "760-789-3852"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MARCELO R. RIVERA MD, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-02-06",
"last_updated": "2008-02-06",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "MARCELO",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "858-613-8743",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G39240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ramona, CA
- Trudy Michelle Madden, LVN
- Raul Oscar Madrigal
- Malcolm J Boykin DDS Inc
- Dianne Grace Mallik, L.AC.
- Heather Mallon, FNP-BC
- Ria Costales Martin, FNP
- Daron Mathena, DACM, L.AC.
- Michael Brandon Mazzola, RN
- McAlister Institute
- McAlister Institute for Treatment & Education, Inc (McAlister Institute Group Home North)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.