Individual provider Active NPI

Francisco Azael Rivera, OTA

  • Occupational Therapy Assistant
  • Norco, CA
National Provider Identifier
1447022017
Registry record updated Nov 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
6562 Issued in CA
Practice address
2641 Hamner Ave Ste 110
Norco, CA 92860-3637
Phone
(626) 536-4834
Fax
(626) 507-6319
NPI assigned
Oct 26, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 6562 CA Primary

Addresses

Primary practice location

2641 Hamner Ave Ste 110
Norco, CA 92860-3637

Mailing address

2641 Hamner Ave Ste 110
Norco, CA 92860-3637
Phone (626) 536-4834

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

LicenseStateTypeSpecialty
6562CAMDPediatrics Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1698278400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700179200000",
    "number": "1447022017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE STE 110",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603637",
            "telephone_number": "626-536-4834",
            "fax_number": "626-507-6319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2641 HAMNER AVE STE 110",
            "city": "NORCO",
            "state": "CA",
            "postal_code": "928603637",
            "telephone_number": "626-536-4834",
            "fax_number": "626-507-6319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "FRANCISCO",
        "middle_name": "AZAEL",
        "name_prefix": "Mr.",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-26",
        "last_updated": "2023-11-17",
        "certification_date": "2023-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "CA",
            "license": "6562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norco, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2023; 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.