Individual provider Active NPI

Rachel Civen

  • Infectious Disease Physician
  • Los Angeles, CA
National Provider Identifier
1154787919
Registry record updated Jan 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
G68895 Issued in CA
Practice address
313 N Figueroa St # 212
Los Angeles, CA 90012-2602
Phone
(213) 250-8653
NPI assigned
Jan 11, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 11, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X G68895 CA Primary

Addresses

Primary practice location

313 N Figueroa St # 212
Los Angeles, CA 90012-2602

Mailing address

313 N Figueroa St # 212
Los Angeles, CA 90012-2602
Phone (213) 250-8653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201021001377 CA Practitioner - Infectious Disease 1355761875 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious Disease
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Los Angeles County Department of Public HealthGroup PAC ID 3072966621, 40 clinicians

Practice addresses (Care Compare)

13300 Van Nuys Blvd
Pacoima, CA 91331-3004
Phone (818) 896-1903

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68895CAMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
County of Los Angeles CurrentSince Jul 21, 2020 Accepting new patients
County of Los Angeles CurrentSince Jul 21, 2020 Accepting new patients
Los Angeles County Department of Public Health CurrentSince Nov 14, 2023 Accepting new patients
County of Los Angeles Current Accepting new patients

Locations

1000 S Fremont Ave
Unit 9
Alhambra, CA 91803

5555 Ferguson Dr
Ste 10050
Commerce, CA 90022
Phone (213) 240-8220

123 W Manchester Blvd
Inglewood, CA 90301
Phone (310) 419-5325

335 E Avenue K6
Ste B
Lancaster, CA 93535
Phone (661) 471-4810

330 W Maple Ave
Monrovia, CA 91016
Phone (626) 232-9072

13300 Van Nuys Blvd
Pacoima, CA 91331
Phone (818) 896-1903

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1452470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452470400000",
    "number": "1154787919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 N FIGUEROA ST # 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122602",
            "telephone_number": "213-250-8653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "313 N FIGUEROA ST # 212",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900122602",
            "telephone_number": "213-250-8653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIVEN",
        "first_name": "RACHEL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-01-11",
        "last_updated": "2016-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G68895",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.