Individual provider Active NPI

Tania Lorena Rivera, M.D.

  • Rheumatology Physician
  • Escondido, CA
National Provider Identifier
1336346972
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
A126958 Issued in CA
Practice address
215 S Hickory St
Suite 114
Escondido, CA 92025-4359
Phone
(858) 336-2810
Fax
(949) 798-7990
NPI assigned
Jun 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 265348 NY
Rheumatology Physician 207RR0500X 25MA09188500 NJ
Rheumatology Physician 207RR0500X A126958 CA Primary

Addresses

Primary practice location

215 S Hickory St
Suite 114
Escondido, CA 92025-4359

Mailing address

8895 Towne Centre Dr
Suite 105 #377
San Diego, CA 92122-5542
Phone (858) 336-2810

Other practice location 1

9850 genesee ave
780
La Jolla, CA 92037-9203
Phone (858) 336-2810

Other practice location 2

4725 Market St
San Diego, CA 92102-4715
Phone (619) 515-2560

Other names 1

  • Tania L Rivera Vidal Other name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131219000865 CA Practitioner - RheumatologyPractitioner - Internal Medicine 4981855913 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Rheumatology
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rheumatology Center of San Diego PCGroup PAC ID 3173754553, 2 clinicians

Practice addresses (Care Compare)

16516 Bernardo Ctr Dr
Suite 220
San Diego, CA 92128-2551
Phone (858) 336-2810

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A126958CAMDRheumatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rheumatology Center of San Diego, PC CurrentSince Feb 6, 2014 Accepting new patients
Family Health Centers of San Diego, Inc Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Oct 14, 2013 Accepting new patients
Scripps Health Current Accepting new patients
Family Health Centers of San Diego, Inc CurrentSince Oct 14, 2013 Accepting new patients
Scripps Health Past Accepting new patients
Palomar Health Past Accepting new patients
Grossmont Hospital Corporation Past Accepting new patients
Scripps Health Past Accepting new patients

Locations

9850 Genesee Ave
Ste 780
La Jolla, CA 92037
Phone (858) 625-7200

8895 Towne Centre Dr
Ste 105
San Diego, CA 92122

16516 Bernardo Center Dr
Ste 220
San Diego, CA 92128
Phone (858) 336-2801

1809 National Ave
San Diego, CA 92113
Phone (619) 515-2500

823 Gateway Center Way
San Diego, CA 92102
Phone (619) 515-2323

4725 Market St
San Diego, CA 92102
Phone (619) 515-2560

Interoperability endpoints

  • Direct secure messaging: trivera31698@scrippshlth.medalliesdirect.net
  • Direct secure messaging: rivera@rheumsd.kareodirect.com

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1336346972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 TOWNE CENTRE DR",
            "address_2": "SUITE 105 #377",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921225542",
            "telephone_number": "858-336-2810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 S HICKORY ST",
            "address_2": "SUITE 114",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920254359",
            "telephone_number": "858-336-2810",
            "fax_number": "949-798-7990"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9850 genesee ave",
            "address_2": "780",
            "address_purpose": "LOCATION",
            "city": "La Jolla",
            "state": "CA",
            "postal_code": "920379203",
            "country_code": "US",
            "telephone_number": "858-336-2810",
            "fax_number": "949-798-7990",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4725 Market St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921024715",
            "country_code": "US",
            "telephone_number": "619-515-2560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "TANIA",
        "middle_name": "LORENA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-28",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NY",
            "license": "265348",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "NJ",
            "license": "25MA09188500",
            "primary": false
        },
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "CA",
            "license": "A126958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANIA",
            "last_name": "RIVERA VIDAL",
            "middle_name": "L",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Escondido, CA

Sources for this page

Verify at the official NPI Registry.