Active NPI
Laura Diane Rivas, M.F.T
- Marriage & Family Therapist
- Irvine, CA
National Provider Identifier
1295083095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- 53934
- Practice address
- 15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308 - Phone
- (949) 791-7839
- NPI assigned
- Aug 27, 2012
- 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 |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 53934 | CA | Primary |
Addresses
Primary practice location
15615 Alton Pkwy Ste 450
Irvine, CA 92618-3308
Mailing address
23932 Dory Dr
Laguna Niguel, CA 92677-4237
Phone (949) 285-7136
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 53934 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1346025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1346025600000",
"number": "1295083095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23932 DORY DR",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774237",
"telephone_number": "949-285-7136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15615 ALTON PKWY STE 450",
"city": "IRVINE",
"state": "CA",
"postal_code": "926183308",
"telephone_number": "949-791-7839"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "LAURA",
"middle_name": "DIANE",
"name_prefix": "Mrs.",
"credential": "M.F.T",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-08-27",
"last_updated": "2012-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "53934",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Irvine, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.