Organization Active NPI

Lisa Rivas DMD, Inc

  • Dental Clinic/Center
  • West Hollywood, CA
National Provider Identifier
1275303323
Registry record updated Jan 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dental Clinic/CenterTaxonomy code 261QD0000X
Legal business name
LISA RIVAS DMD, INC
Practice address
9201 W Sunset Blvd Ste 501
West Hollywood, CA 90069-3706
Phone
(310) 278-9121
NPI assigned
Jan 8, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2024

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

Authorized official

Name
Dr. Lisa Rivas, DMDNPI 1467007393
Title
President
Phone
(661) 607-5834

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Clinic/Center 261QD0000X Primary

Addresses

Primary practice location

9201 W Sunset Blvd Ste 501
West Hollywood, CA 90069-3706

Mailing address

96 Calle Escalon
Camarillo, CA 93010-1709
Phone (661) 607-5834

National Provider Directory

National Provider Directory

Locations

9201 W Sunset Blvd
Ste 501
West Hollywood, CA 90069
Phone (310) 278-9121

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1704672000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704672000000",
    "number": "1275303323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CALLE ESCALON",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101709",
            "telephone_number": "661-607-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 501",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693706",
            "telephone_number": "310-278-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LISA RIVAS DMD, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-08",
        "last_updated": "2024-01-08",
        "certification_date": "2024-01-08",
        "status": "A",
        "authorized_official_last_name": "RIVAS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "661-607-5834",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Hollywood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; 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.