Individual provider Active NPI

Juan C De la Riva, MD

  • Anesthesiology Physician
  • Redlands, CA
National Provider Identifier
1467409664
Registry record updated Feb 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
G58822 Issued in CA
Practice address
2 W Fern Ave
Redlands, CA 92373
Phone
(909) 786-0725
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 25, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X G58822 CA Primary

Addresses

Primary practice location

2 W Fern Ave
Redlands, CA 92373

Mailing address

PO Box 10069
San Bernardino, CA 92423-0069

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041213000855 CA Practitioner - AnesthesiologyPractitioner - Pain Management 7719944669 Reassigns benefits to 7 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
24422CAMDGeneral Practice Dentistry
G58822CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke's Methodist Hospital Current Accepting new patients
Anesthesia Services of San Joaquin, P.C. Anesthesiology CurrentSince Jul 8, 2021 Accepting new patients
Beaver Medical Group P C Anesthesiology CurrentSince Mar 12, 2019 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
Beaver Medical Group P C CurrentSince Mar 12, 2019 Accepting new patients
County of San Joaquin CurrentSince Feb 16, 2023 Accepting new patients
San Joaquin Faculty Medical Group CurrentSince Feb 16, 2023 Accepting new patients
First Choice Physician Partners Current Accepting new patients
Cep America - Anesthesia, PC Anesthesiology Current Accepting new patients
County of San Joaquin CurrentSince Feb 16, 2023 Accepting new patients
Cep America - Anesthesia PC Anesthesiology CurrentSince Jul 1, 2020 Accepting new patients
First Choice Physician Partners CurrentSince May 11, 2020 Accepting new patients
First Choice Physician Partners CurrentSince May 11, 2020 Accepting new patients
Darin Rentz DO PC Anesthesiology CurrentSince May 1, 2022 Accepting new patients
Dignity Health Past Accepting new patients
Sharp Coronado Hospital and Healthcare Center Past Accepting new patients
Dameron Hospital Association Past Accepting new patients
Delta Sierra Medical Group, Inc PastSince Dec 7, 2025 Accepting new patients
Sutter Valley Hospitals Past Accepting new patients

Locations

600 N Highland Springs Ave
Banning, CA 92220
Phone (833) 443-6287

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

975 S Fairmont Ave
Lodi, CA 95240
Phone (209) 339-7575

1205 E North St
Manteca, CA 95336
Phone (209) 239-8301

1541 Florida Ave
Modesto, CA 95350

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 350-2663

1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235

1541 Florida Ave
Ste 101
Modesto, CA 95350
Phone (209) 575-3839

2 W Fern Ave
#1112
Redlands, CA 92373

2 W Fern Ave
Redlands, CA 92373
Phone (909) 786-0725

350 Terracina Blvd
Redlands, CA 92373
Phone (909) 335-5500

525 W Acacia St
Stockton, CA 95203
Phone (209) 944-5410

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

Interoperability endpoints

  • Direct secure messaging: jdelariva943866@direct.unitypoint.org

Organizations & group practices 19

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551052800000",
    "number": "1467409664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10069",
            "city": "SAN BERNARDINO",
            "state": "CA",
            "postal_code": "924230069",
            "fax_number": "916-749-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 W FERN AVE",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "92373",
            "telephone_number": "909-786-0725"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE LA RIVA",
        "first_name": "JUAN",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2019-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "G58822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Redlands, CA

Sources for this page

Verify at the official NPI Registry.