Active NPI
Rene Loredo Rivera, D.C.
- Chiropractor
- Indio, CA
National Provider Identifier
1457538308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- DC24574
- Practice address
- 81709 Dr Carreon Blvd
Suite a-5
Indio, CA 92201-5509 - Phone
- (760) 563-1800
- Fax
- (760) 863-1887
- NPI assigned
- Jan 23, 2008
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | DC24574 | CA | Primary |
Addresses
Primary practice location
81709 Dr Carreon Blvd
Suite a-5
Indio, CA 92201-5509
Mailing address
81709 Dr Carreon Blvd
Suite a-5
Indio, CA 92201-5509
Phone (760) 563-1800
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 |
|---|---|---|---|
| DC24574 | CA | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lorraine Provenzano, Chiropractic, Inc. | Chiropractor | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Chiropractor
- Indio, CA
- NPI 1710071824
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1201046400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1201046400000",
"number": "1457538308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "81709 DR CARREON BLVD",
"address_2": "SUITE A-5",
"city": "INDIO",
"state": "CA",
"postal_code": "922015509",
"telephone_number": "760-563-1800",
"fax_number": "760-863-1887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "81709 DR CARREON BLVD",
"address_2": "SUITE A-5",
"city": "INDIO",
"state": "CA",
"postal_code": "922015509",
"telephone_number": "760-563-1800",
"fax_number": "760-863-1887"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "RENE",
"middle_name": "LOREDO",
"credential": "D.C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-23",
"last_updated": "2008-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CA",
"license": "DC24574",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indio, CA
- Estevan Rivas
- Cariza Amellia Rivera
- Dolores Jazmin Rivera
- Edgar Francisco Rivera
- Reanna Rivera, PTA
- Yesenia Rivera
- Riverside County Department of Mental Health
- Riverside County Dept. of Mental Health Substance Abuse Program
- Riverside County Latino Commission on Alcohol and Drug Abuse Services
- Riverside County Latino Commission on Alcohol and Drug Abuse Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.