Individual provider Active NPI

Veronica Rebeca Rivera, MD

  • Obstetrics & Gynecology Physician
  • San Jose, CA
National Provider Identifier
1477734754
Registry record updated Jul 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
A93252 Issued in CA
Practice address
706 N Winchester Blvd
San Jose, CA 95128-1524
Phone
(408) 905-7178
Fax
(408) 298-0119
NPI assigned
Nov 15, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X A93252 CA Primary

Addresses

Primary practice location

706 N Winchester Blvd
San Jose, CA 95128-1524

Mailing address

706 N Winchester Blvd
San Jose, CA 95128-1524
Phone (408) 905-7178

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
I20080616000321 CA Practitioner - Obstetrics/Gynecology 8729159900 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of California, San Francisco School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

706 N Winchester Blvd
San Jose, CA 95128-1524
Phone (408) 905-7178

Hospital & facility affiliations

  • Good Samaritan Hospital Hospital, San Jose, CA, CCN 050380

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions27

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
93252CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Veronica Rivera MD Inc Obstetrics & Gynecology CurrentSince Feb 1, 2010 Accepting new patients
County of Santa Clara Past Accepting new patients
Violetta Faryno MD Inc PastSince Oct 11, 2017 Accepting new patients

Locations

2110 Forest Ave
Ste A
San Jose, CA 95128
Phone (408) 288-5560

706 N Winchester Blvd
San Jose, CA 95128
Phone (408) 298-4495

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1195084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438300800000",
    "number": "1477734754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "706 N WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281524",
            "telephone_number": "408-905-7178",
            "fax_number": "408-298-0119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "706 N WINCHESTER BLVD",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "951281524",
            "telephone_number": "408-905-7178",
            "fax_number": "408-298-0119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "VERONICA",
        "middle_name": "REBECA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-15",
        "last_updated": "2015-07-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "CA",
            "license": "A93252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Jose, CA

Sources for this page

Verify at the official NPI Registry.