Organization Active NPI

Rivera Chiropractic Corporation

  • Chiropractor
  • San Bernardino, CA
National Provider Identifier
1396688560
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
RIVERA CHIROPRACTIC CORPORATION
Practice address
1850 S Waterman Ave Ste C
San Bernardino, CA 92408-2852
Phone
(909) 712-5676
NPI assigned
Apr 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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

Authorized official

Name
Juan Pablo Rivera Rodriguez, DC
Title
Doctor of Chiropractic
Phone
(909) 712-5676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

1850 S Waterman Ave Ste C
San Bernardino, CA 92408-2852

Mailing address

1850 S Waterman Ave Ste C
San Bernardino, CA 92408-2852

National Provider Directory

National Provider Directory

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": "1776038400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776038400000",
    "number": "1396688560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082852"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1850 S WATERMAN AVE STE C",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924082852",
            "telephone_number": "909-712-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA CHIROPRACTIC CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-04-13",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A",
        "authorized_official_last_name": "RIVERA RODRIGUEZ",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "PABLO",
        "authorized_official_title_or_position": "DOCTOR OF CHIROPRACTIC",
        "authorized_official_telephone_number": "909-712-5676",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Bernardino, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.