Jorge A Ruiz Rivera, M.D.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

A73080 Issued in CA

Practice address

1186 Leland Ave
Tulare, CA 93274-7811

Phone

(559) 686-9097

Fax

(559) 688-8756

NPI assigned

Jan 24, 2007

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
• Direct secure messaging: jorge.rivera.p1@direct.altura.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.

• Altura Centers for Health

  • Federally Qualified Health Center (FQHC)
  • Tulare, CA
  • NPI 1023011632
  NPD (past)

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

{
    "created_epoch": "1169596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1244678400000",
    "number": "1124173794",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1186 LELAND AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747811",
            "telephone_number": "559-686-9097",
            "fax_number": "559-688-8756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1186 LELAND AVE",
            "city": "TULARE",
            "state": "CA",
            "postal_code": "932747811",
            "telephone_number": "559-686-9097",
            "fax_number": "559-688-8756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUIZ RIVERA",
        "first_name": "JORGE",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-24",
        "last_updated": "2009-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A73080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Manuel Martin Romeiro Jr., MS-PPS
• Samantha D. Romero
• Amanda Mendez Rosales
• Dmarie Christy Rose, PT
• Jonna Ross
• Sandra Mariela Ruiz-Rivas, MA
• Alyssa M. Ruiz
• Santos Michael Russian
• Laura Antonia Russo
• Jesse Ruvalcaba

• Pediatrics Physician in Tulare, CA
• Providers in Tulare, CA by specialty
• Pediatrics Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2009; 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.