Organization Active NPI

Roberto Rivera Chiropractic P.C

  • Sports Physician Chiropractor
  • Costa Mesa, CA
National Provider Identifier
1124965314
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physician ChiropractorTaxonomy code 111NS0005X
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

Updated by the provider on May 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Roberto Rivera Jr., DCNPI 1073376224
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)CodeLicenseStatePrimary
Sports Physician ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

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.

Verify at the official NPI Registry.