Lisa Rivas

Primary specialty

DentistTaxonomy code 122300000X

License

104230 Issued in CA

Practice address

9201 W Sunset Blvd Ste 501
West Hollywood, CA 90069-3706

Phone

(310) 278-9121

NPI assigned

Aug 7, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• L M Rivas DMD, Inc.

  • Dentist
  • Port Hueneme, CA
  • NPI 1861345613
  NPD Authorized official
• Lisa Rivas DMD, Inc

  • Dental Clinic/Center
  • West Hollywood, CA
  • NPI 1275303323
  NPD Authorized official
• Yasmin Easley Dental Corporation

  • General Practice Dentistry
  • Palmdale, CA
  • NPI 1326299942
  NPD (past)

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

{
    "created_epoch": "1565136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705104000000",
    "number": "1467007393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "96 CALLE ESCALON",
            "city": "CAMARILLO",
            "state": "CA",
            "postal_code": "930101709",
            "telephone_number": "805-603-0893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9201 W SUNSET BLVD STE 501",
            "city": "WEST HOLLYWOOD",
            "state": "CA",
            "postal_code": "900693706",
            "telephone_number": "310-278-9121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "LISA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-07",
        "last_updated": "2024-01-13",
        "certification_date": "2024-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "104230",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jayson A Ricks, LMT
• Preny Riganian
• Rise Marriage and Family Therapy Inc
• Risen Health Partners
• Mackenzie Ritchie, PHARMD
• Henry G Rivera Guzman Sr., CMT
• Elyssa Bangunan Rivero, NURSE PRACTITIONER
• Robert Anavian, DPM
• Robert Chang DO Inc.
• Robert R Smith DDS

• Dentist in West Hollywood, CA
• Providers in West Hollywood, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.