Jason Rivera

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCS 25618 Issued in CA

Practice address

2204 Arlington Dr
San Leandro, CA 94578-1132

Phone

(510) 427-0060

NPI assigned

Mar 6, 2007

Sex

Male

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Seneca Center

  • Community/Behavioral Health Agency
  • Fairfield, CA
  • NPI 1699972281
  NPD (past)
• Seneca Family of Agencies

  • Community/Behavioral Health Agency
  • Anaheim, CA
  • NPI 1174801690
  NPD (past)
• Seneca Family of Agencies

  dba Sonoma Family Permanence Collaborative

  • Community/Behavioral Health Agency
  • Santa Rosa, CA
  • NPI 1205152733
  NPD (past)
• Rocketship Education Wisconsin Inc.

  • Local Education Agency (LEA)
  • Milwaukee, WI
  • NPI 1275964025
  NPD (past)

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364169600000",
    "number": "1477683613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2204 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132",
            "telephone_number": "510-427-0060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 ARLINGTON DR",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945781132",
            "telephone_number": "510-427-0060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JASON",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS 25618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Rivas
• Lucia Rivas
• Alberto Alexander Rivera
• Gabrielle Rivera
• Jacqueline Rivera
• William Rivera
• Blaze Love Riverstone, MA
• Ernest Riviera
• Mollie Ito Roark, OTR/L
• Avara Roberts

• Clinical Social Worker in San Leandro, CA
• Providers in San Leandro, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2013; 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.