Active NPI
David Gabriel Rivera
- Marriage & Family Therapist
- Orange, CA
National Provider Identifier
1174079925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- AMFT132838
- Practice address
- 238 S Flower St
Orange, CA 92868-3415 - Phone
- (714) 978-6682
- NPI assigned
- Aug 31, 2016
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | NA | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Marriage & Family Therapist | 106H00000X | AMFT132838 | Primary |
Addresses
Primary practice location
238 S Flower St
Orange, CA 92868-3415
Mailing address
1902 Marengo St Ste 107
Los Angeles, CA 90033-1378
Phone (213) 447-3680
Other practice location 1
447 N El Molino Ave
Pasadena, CA 91101-1403
Phone (626) 577-8480 ext. 101
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472601600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686182400000",
"number": "1174079925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1902 MARENGO ST STE 107",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900331378",
"telephone_number": "213-447-3680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 S FLOWER ST",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683415",
"telephone_number": "714-978-6682"
}
],
"practiceLocations": [
{
"address_1": "447 N El Molino Ave",
"address_purpose": "LOCATION",
"city": "Pasadena",
"state": "CA",
"postal_code": "911011403",
"country_code": "US",
"telephone_number": "626-577-8480 x101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVERA",
"first_name": "DAVID",
"middle_name": "GABRIEL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-31",
"last_updated": "2023-06-08",
"certification_date": "2023-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "CA",
"license": "NA",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": null,
"license": "AMFT132838",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.