Delariva MD Professional Corporation

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

Legal business name

DELARIVA MD PROFESSIONAL CORPORATION

Practice address

3477 Castle Creek CT
Roseville, CA 95661-7354

Phone

(916) 778-6311

NPI assigned

Jan 29, 2015

Organization subpart

No

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

Authorized official

Name

Juan De la Riva

Title

President

Phone

(916) 778-6311

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1422489600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1422489600000",
    "number": "1235529140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 441",
            "city": "SUISUN CITY",
            "state": "CA",
            "postal_code": "945850441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3477 CASTLE CREEK CT",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956617354",
            "telephone_number": "916-778-6311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELARIVA MD PROFESSIONAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-29",
        "last_updated": "2015-01-29",
        "status": "A",
        "authorized_official_last_name": "DE LA RIVA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-778-6311"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP3000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pediatric Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maika Del Mar, M.D.
• Jessica M Del Pozo, PHD
• Schonze Frances Del Pozo, M.D.
• Antonio Dela Cruz, PHARM.D
• Arthur Anthony Delao
• Jenessa Lynne Delema
• Selina Renee Deleon
• Alondra G Delgadillo Gonzalez
• Isamar Ermese Delgado, LMFT 111868
• Veniece Delly

• Anesthesiology Physician in Roseville, CA
• Providers in Roseville, CA by specialty
• Anesthesiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2015; 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.