Active NPI
Dion Riley
- Student in an Organized Health Care Education/Training Program
- San Jose, CA
National Provider Identifier
1417332727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680 - Phone
- (408) 771-1833
- NPI assigned
- Jul 28, 2015
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | CA | Primary |
Addresses
Primary practice location
2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680
Mailing address
2400 Moorpark Ave Ste 300
San Jose, CA 95128-2680
Phone (408) 261-7777
Other practice location 1
96 S 14th St
San Jose, CA 95112-2015
Phone (408) 998-3293
Other practice location 2
3200 Payne Ave Apt 733
San Jose, CA 95117-3547
Phone (408) 771-1833
Other practice location 3
935 Pomeroy Ave Apt 18
Santa Clara, CA 95051-4706
Phone (408) 771-1833
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1438041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1754611200000",
"number": "1417332727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282680",
"telephone_number": "408-261-7777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 MOORPARK AVE STE 300",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951282680",
"telephone_number": "408-771-1833"
}
],
"practiceLocations": [
{
"address_1": "96 S 14th St",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951122015",
"country_code": "US",
"telephone_number": "408-998-3293",
"fax_number": "408-642-6052",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3200 Payne Ave Apt 733",
"address_purpose": "LOCATION",
"city": "San Jose",
"state": "CA",
"postal_code": "951173547",
"country_code": "US",
"telephone_number": "408-771-1833",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "935 Pomeroy Ave Apt 18",
"address_purpose": "LOCATION",
"city": "Santa Clara",
"state": "CA",
"postal_code": "950514706",
"country_code": "US",
"telephone_number": "408-771-1833",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RILEY",
"first_name": "DION",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-28",
"last_updated": "2025-08-08",
"certification_date": "2025-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "CA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.