Active NPI
Kevin Michael Riggs, O.D.
- Optometrist
- La Mesa, CA
National Provider Identifier
1386711794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8012T
- Practice address
- 5500 Grossmont Center Dr
Suite 215
La Mesa, CA 91942-3016 - Phone
- (619) 469-0131
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8012T | CA | Primary |
Addresses
Primary practice location
5500 Grossmont Center Dr
Suite 215
La Mesa, CA 91942-3016
Mailing address
5500 Grossmont Center Dr
Suite 215
La Mesa, CA 91942-3016
Phone (619) 469-0131
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8012T | Other | CA | STATE LICENSE |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8012T | CA | MD | Optometrist |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1298592000000",
"number": "1386711794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5500 GROSSMONT CENTER DR",
"address_2": "SUITE 215",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423016",
"telephone_number": "619-469-0131"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5500 GROSSMONT CENTER DR",
"address_2": "SUITE 215",
"city": "LA MESA",
"state": "CA",
"postal_code": "919423016",
"telephone_number": "619-469-0131"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIGGS",
"first_name": "KEVIN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "O.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-29",
"last_updated": "2011-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8012T",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE LICENSE",
"identifier": "8012T",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in La Mesa, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 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.