Active NPI
Roberto Rivera Chiropractic P.C
- Sports Physician Chiropractor
- Costa Mesa, CA
National Provider Identifier
1124965314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physician Chiropractor
- Legal business name
- ROBERTO RIVERA CHIROPRACTIC P.C
- Practice address
- 640 Terminal Way
Costa Mesa, CA 92627-3616 - Phone
- (718) 702-9450
- NPI assigned
- May 4, 2026
- 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. Roberto Rivera Jr., DC
- Title
- Chiropractor
- Phone
- (718) 702-9450
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 |
|---|---|---|---|---|
| Sports Physician Chiropractor | 111NS0005X | Primary |
Addresses
Primary practice location
640 Terminal Way
Costa Mesa, CA 92627-3616
Mailing address
640 Terminal Way
Costa Mesa, CA 92627-3616
Phone (718) 702-9450
Other names 1
- Movement Institution
National Provider Directory
National Provider DirectoryLocations
640 Terminal Way
Costa Mesa, CA 92627
Phone (718) 702-9450
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Chiropractor
- Costa Mesa, CA
- NPI 1073376224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1777852800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1777852800000",
"number": "1124965314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "640 TERMINAL WAY",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273616",
"telephone_number": "718-702-9450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "640 TERMINAL WAY",
"city": "COSTA MESA",
"state": "CA",
"postal_code": "926273616",
"telephone_number": "718-702-9450"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERTO RIVERA CHIROPRACTIC P.C",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-04",
"last_updated": "2026-05-04",
"certification_date": "2026-05-04",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "ROBERTO",
"authorized_official_title_or_position": "CHIROPRACTOR",
"authorized_official_telephone_number": "718-702-9450",
"authorized_official_name_prefix": "Dr.",
"authorized_official_name_suffix": "Jr.",
"authorized_official_credential": "DC"
},
"taxonomies": [
{
"code": "111NS0005X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Chiropractor, Sports Physician",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Movement Institution",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Costa Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.