Individual provider Active NPI

Roberto Adolfo Cepeda-Rivadeneira, RN

  • Registered Nurse
  • Lynwood, CA
National Provider Identifier
1477406296
Registry record updated Feb 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered NurseTaxonomy code 163W00000X
License
RN95211870 Issued in CA
Practice address
3516 Martin Luther King Jr. Blvd.
Ste. 4
Lynwood, CA 90262-2066
Phone
(562) 614-4046
NPI assigned
Feb 19, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN95211870 CA Primary

Addresses

Primary practice location

3516 Martin Luther King Jr. Blvd.
Ste. 4
Lynwood, CA 90262-2066

Mailing address

11939 161St St
Norwalk, CA 90650-7160
Phone (310) 738-4782

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
Credentials
Registered Nurse

State licenses

LicenseStateTypeSpecialty
RN95211870CAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Cotorro Communication Center Speech Therapy Services, Inc. Registered Nurse PastSince Dec 14, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1771459200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771459200000",
    "number": "1477406296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11939 161ST ST",
            "city": "NORWALK",
            "state": "CA",
            "postal_code": "906507160",
            "telephone_number": "310-738-4782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3516 MARTIN LUTHER KING JR. BLVD.",
            "address_2": "STE. 4",
            "city": "LYNWOOD",
            "state": "CA",
            "postal_code": "902622066",
            "telephone_number": "562-614-4046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CEPEDA-RIVADENEIRA",
        "first_name": "ROBERTO",
        "middle_name": "ADOLFO",
        "name_prefix": "Mr.",
        "credential": "RN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-19",
        "last_updated": "2026-02-19",
        "certification_date": "2026-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "RN95211870",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lynwood, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2026; 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.