Organization Active NPI

Manuel C Rivera MD a Professional Corporation a California Corp

  • Family Medicine Physician
  • Chino Hills, CA
National Provider Identifier
1346477338
Registry record updated Mar 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
A37676 Issued in CA
Legal business name
MANUEL C RIVERA MD A PROFESSIONAL CORPORATION A CALIFORNIA CORP
Practice address
2983 Chino Ave
Suite a-2
Chino Hills, CA 91709-3576
Phone
(909) 465-6342
Fax
(909) 465-6345
NPI assigned
Jun 17, 2009
Organization subpart
Yes
Parent organization
MANUEL C RIVERA MD A PROFESSIONAL CORPORATION A CALIFORNIA CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 17, 2015

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

Authorized official

Name
Dr. Manuel C Rivera, M.D.
Title
President
Phone
(909) 465-6342

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X A37676 CA Primary

Addresses

Primary practice location

2983 Chino Ave
Suite a-2
Chino Hills, CA 91709-3576

Mailing address

2983 Chino Ave
Suite a-2
Chino Hills, CA 91709-3576
Phone (909) 465-6342

Other names 1

  • MANUEL C RIVERA MD A PROFESSIONAL CORPORATION A CALIFORNIA CORP Doing business as

National Provider Directory

National Provider Directory
Part of
Manuel C Rivera MD

Locations

2983 Chino Ave
Ste A2
Chino Hills, CA 91709
Phone (909) 465-6342

Practitioners & affiliated clinicians

Practitioners 1

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": "1245196800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1426550400000",
    "number": "1346477338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2983 CHINO AVE",
            "address_2": "SUITE A-2",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093576",
            "telephone_number": "909-465-6342",
            "fax_number": "909-465-6345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2983 CHINO AVE",
            "address_2": "SUITE A-2",
            "city": "CHINO HILLS",
            "state": "CA",
            "postal_code": "917093576",
            "telephone_number": "909-465-6342",
            "fax_number": "909-465-6345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUEL C RIVERA MD A PROFESSIONAL CORPORATION A CALIFORNIA CORP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MANUEL C RIVERA MD A PROFESSIONAL CORPORATION A CALIFORNIA CORP",
        "enumeration_date": "2009-06-17",
        "last_updated": "2015-03-17",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MANUEL",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-465-6342",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A37676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MANUEL C RIVERA MD A PROFESSIONAL CORPORATION A CALIFORNIA CORP",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Chino Hills, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2015; 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.