Active NPI
Desiree Rivas, RD, IBCLC
- Registered Dietitian
- Lancaster, CA
National Provider Identifier
1316552995
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- 86146091
- Practice address
- 44216 10TH St W
Lancaster, CA 93534-4134 - Phone
- (661) 726-6462
- NPI assigned
- Sep 10, 2020
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 86146091 | CA | Primary |
Addresses
Primary practice location
44216 10TH St W
Lancaster, CA 93534-4134
Mailing address
1153 E Avenue K14
Lancaster, CA 93535-2947
Phone (661) 547-0491
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 |
|---|---|---|---|
| 86146091 | CA | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1599696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1599696000000",
"number": "1316552995",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1153 E AVENUE K14",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935352947",
"telephone_number": "661-547-0491"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44216 10TH ST W",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935344134",
"telephone_number": "661-726-6462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "DESIREE",
"credential": "RD, IBCLC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-09-10",
"last_updated": "2020-09-10",
"certification_date": "2020-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "CA",
"license": "86146091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lancaster, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.