Active NPI
Ada Elena Del Rivero Yamuy, M.D.
- Family Medicine Physician
- Culver City, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- A83694
- Practice address
- 3831 Hughes Ave
Suite 101
Culver City, CA 90232-2751 - Phone
- (310) 204-0104
- Fax
- (310) 204-0171
- NPI assigned
- Feb 15, 2007
- Last updated
- Jan 21, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | A83694 | CA | Primary |
Addresses
Primary practice location
3831 Hughes Ave
Suite 101
Culver City, CA 90232-2751
Mailing address
4815 Patrae St
Los Angeles, CA 90066-6726
Phone (310) 305-4157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040109000674 | CA | Practitioner - General Practice | 5991605677 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shahin S. Rad, M.D. PC | Current | Accepting new patients | |
| Southern California Healthcare System, Inc | Past | Accepting new patients |
Locations
3831 Hughes Ave
Ste 101
Culver City, CA 90232
Phone (310) 204-0104
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/ADDEBD
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Hughes Avenue Family Medical Center
- Primary Care Clinic/Center
- Culver City, CA
- NPI 1760690200
-
dba Los Angeles Bone and Joint Institute
- Orthopaedic Surgery Physician
- Encino, CA
- NPI 1801265673
-
dba Southern California Hospital at Culver City
- Psychiatric Hospital Unit
- Culver City, CA
- NPI 1487905725
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548028800000",
"number": "1275676363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4815 PATRAE ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900666726",
"telephone_number": "310-305-4157",
"fax_number": "310-305-4157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3831 HUGHES AVE",
"address_2": "SUITE 101",
"city": "CULVER CITY",
"state": "CA",
"postal_code": "902322751",
"telephone_number": "310-204-0104",
"fax_number": "310-204-0171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEL RIVERO YAMUY",
"first_name": "ADA",
"middle_name": "ELENA",
"name_prefix": "Mrs.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2019-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "A83694",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Culver City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.