Individual provider Active NPI

Henry Rivera, DC

  • Chiropractor
  • Los Angeles, CA
National Provider Identifier
1205433661
Registry record updated Oct 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
34901 Issued in CA
Practice address
11075 Santa Monica Blvd Ste 175
Los Angeles, CA 90025-7567
Phone
(310) 427-7374
NPI assigned
Oct 7, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 34901 CA Primary

Addresses

Primary practice location

11075 Santa Monica Blvd Ste 175
Los Angeles, CA 90025-7567

Mailing address

11075 Santa Monica Blvd Ste 175
Los Angeles, CA 90025-7567
Phone (310) 427-7374

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250307000972 CA Practitioner - Chiropractic 8527589498 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34901CAMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Central City Community Health Center Inc CurrentSince Dec 20, 2024 Accepting new patients
Central City Community Health Center Inc CurrentSince Dec 20, 2024 Accepting new patients
West la Medical Corporation CurrentSince Jan 1, 2022 Accepting new patients
Central City Community Health Center Inc Current Accepting new patients

Locations

2237 W Ball Rd
Anaheim, CA 92804
Phone (714) 490-2750

4160 Maine Ave
Ste B1
Baldwin Park, CA 91706
Phone (626) 384-2400

4160 Maine Ave
Baldwin Park, CA 91706
Phone (323) 724-0019

4126 Maine Ave
Baldwin Park, CA 91706
Phone (626) 653-0800

12511 Brookhurst St
Garden Grove, CA 92840
Phone (714) 534-5050

5970 S Central Ave
Los Angeles, CA 90001
Phone (213) 234-3280

11075 Santa Monica Blvd
Ste 175
Los Angeles, CA 90025
Phone (310) 427-7374

2019 Saturn St
Monterey Park, CA 91755
Phone (323) 724-0019

12116 Beach Blvd
Stanton, CA 90680
Phone (714) 498-2222

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": "1602028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602028800000",
    "number": "1205433661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11075 SANTA MONICA BLVD STE 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257567",
            "telephone_number": "310-427-7374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11075 SANTA MONICA BLVD STE 175",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900257567",
            "telephone_number": "310-427-7374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "HENRY",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-10-07",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "34901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.