Organization Active NPI

Luis E Rivera MD Inc

  • Primary Care Clinic/Center
  • Santa Anna, CA
National Provider Identifier
1255405965
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LUIS E RIVERA MD INC
Practice address
2222 S Main St
Santa Anna, CA 92707
Phone
(714) 751-9022
Fax
(714) 751-9050
NPI assigned
Nov 17, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Luis Eduardo Rivera, MD
Title
President
Phone
(714) 751-9022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

2222 S Main St
Santa Anna, CA 92707

Mailing address

2222 S Main St
Santa Anna, CA 92707
Phone (714) 751-9022

Other names 1

  • Medical Center of Santa Ana Other name

National Provider Directory

National Provider Directory

Locations

2222 S Main St
Santa Ana, CA 92707
Phone (714) 436-9999

NPI Registry JSON

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

{
    "created_epoch": "1163721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1255405965",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 S MAIN ST",
            "city": "SANTA ANNA",
            "state": "CA",
            "postal_code": "92707",
            "telephone_number": "714-751-9022",
            "fax_number": "714-751-9050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 S MAIN ST",
            "city": "SANTA ANNA",
            "state": "CA",
            "postal_code": "92707",
            "telephone_number": "714-751-9022",
            "fax_number": "714-751-9050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUIS E RIVERA MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "LUIS",
        "authorized_official_middle_name": "EDUARDO",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-751-9022",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Medical Center of Santa Ana",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Santa Anna, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.