Active NPI
Frank Edward Rivas, CP
- Prosthetist
- Merced, CA
National Provider Identifier
1366630303
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetist
- License
- CPO02952
- Practice address
- 1180 W. Olive Avenue
Suite H
Merced, CA 95348-1900 - Phone
- (209) 722-2440
- Fax
- (209) 723-2013
- NPI assigned
- Oct 3, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Prosthetist | 224P00000X | |||
| Orthotic Fitter | 225000000X | CP002624 | CA | |
| Prosthetist | 224P00000X | CA | ||
| Orthotist | 222Z00000X | CA | ||
| Prosthetist | 224P00000X | CPO02952 | CA | Primary |
| Orthotist | 222Z00000X | CPO02952 | CA |
Addresses
Primary practice location
1180 W. Olive Avenue
Suite H
Merced, CA 95348-1900
Mailing address
P.O. Box 60000
File 31026
San Francisco, CA 94160-0001
Phone (800) 726-9180
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 |
|---|---|---|---|
| CPO02952 | CA | MD | Prosthetist |
| CP002624 | CA | MD | Orthotic Fitter |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1191369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1366630303",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 60000",
"address_2": "FILE 31026",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941600001",
"telephone_number": "800-726-9180",
"fax_number": "209-834-1158"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1180 W. OLIVE AVENUE",
"address_2": "SUITE H",
"city": "MERCED",
"state": "CA",
"postal_code": "953481900",
"telephone_number": "209-722-2440",
"fax_number": "209-723-2013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "FRANK",
"middle_name": "EDWARD",
"credential": "CP",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-10-03",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "CA",
"license": "CP002624",
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": null,
"primary": false
},
{
"code": "224P00000X",
"taxonomy_group": "",
"desc": "Prosthetist",
"state": "CA",
"license": "CPO02952",
"primary": true
},
{
"code": "222Z00000X",
"taxonomy_group": "",
"desc": "Orthotist",
"state": "CA",
"license": "CPO02952",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Merced, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.