Bryan Rivera MD Inc

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

A111003 Issued in CA

Legal business name

BRYAN RIVERA MD INC

Practice address

18144 US Highway 18 Ste 130
Apple Valley, CA 92307-2219

Phone

(760) 278-9477

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

William Bryan Rivera, MDNPI 1447498985

Title

President

Phone

(760) 278-9477

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• William Bryan Rivera, M.D

  • Surgery Physician
  • Apple Valley, CA
  • NPI 1447498985
  Medicare reassignment NPD Authorized official
• Jenai Castaneda, PA-C

  • Physician Assistant
  • Victorville, CA
  • NPI 1336747567
  Medicare reassignment

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711065600000",
    "number": "1194124214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12277 APPLE VALLEY RD",
            "address_2": "#450",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923081702",
            "telephone_number": "760-278-9477",
            "fax_number": "760-813-7004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18144 US HIGHWAY 18 STE 130",
            "city": "APPLE VALLEY",
            "state": "CA",
            "postal_code": "923072219",
            "telephone_number": "760-278-9477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRYAN RIVERA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-03-22",
        "certification_date": "2024-03-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "BRYAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "760-278-9477",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Surgery",
            "state": "CA",
            "license": "A111003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Damon E Brown Sr.
• Kyle Brown, D.O.
• Marquette Jan-Jan Brown Jr.
• Steven Reed Brown, DDS MSD
• Michael Scott Browne Jr., PPS-2300206050
• Wilson G Bryant III
• Melissa Christine Bucarey, M.S., LMFT
• Jonathan Hung Budge, PHARMD.
• Jose Benavidez Bueno, M.D.
• Sarah Ligon Buenviaje-Smith, MD

• Surgery Physician in Apple Valley, CA
• Providers in Apple Valley, CA by specialty
• Surgery Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.