Active NPI
Estevan Rivas
- Family Medicine Physician
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO034859
- Practice address
- 47923 Oasis St
Indio, CA 92201-9203 - Phone
- (760) 863-8283
- NPI assigned
- Mar 30, 2016
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20A22780 | CA | |
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Family Medicine Physician | 207Q00000X | DO034859 | DC | Primary |
Addresses
Primary practice location
47923 Oasis St
Indio, CA 92201-9203
Mailing address
15611 Newkirk Rd
El Paso, TX 79928-9046
Phone (915) 252-6173
Other practice location 1
1660 Columbia Rd NW
Washington, DC 20009-3602
Phone (202) 469-4699 ext. 5123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- University of North Texas HSC, College of Osteopathic Med, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- County of Riverside
Practice addresses (Care Compare)
191 N Sunrise Way
Palm Springs, CA 92262-5201
Phone (760) 778-2210
Hospital & facility affiliations
- Guardian Angel Home Care, Inc
- Desert Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A22780 | CA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Unity Health Care Inc. | Current | Accepting new patients | |
| Unity Health Care, Inc. | Current | Accepting new patients |
Locations
1100 New Jersey Ave SE
Ste 500
Washington, DC 20003
Phone (202) 279-1817
1310 Southern Ave SE
Washington, DC 20032
Phone (202) 574-6000
1660 Columbia Rd NW
Washington, DC 20009
Phone (202) 328-3717
Interoperability endpoints
- erivas1223528@direct.llu.edu
Organizations & group practices 2
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.
-
- Federally Qualified Health Center (FQHC)
- Washington, DC
- NPI 1093894172
-
- Community/Retail Pharmacy
- Washington, DC
- NPI 1346014412
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Palm Springs, CA
- NPI 1104856095
-
- Home Health Agency
- Palm Desert, CA
- NPI 1134759517
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1459296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1720396800000",
"number": "1477916260",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15611 NEWKIRK RD",
"city": "EL PASO",
"state": "TX",
"postal_code": "799289046",
"telephone_number": "915-252-6173"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47923 OASIS ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922019203",
"telephone_number": "760-863-8283"
}
],
"practiceLocations": [
{
"address_1": "1660 Columbia Rd NW",
"address_purpose": "LOCATION",
"city": "Washington",
"state": "DC",
"postal_code": "200093602",
"country_code": "US",
"telephone_number": "202-469-4699 x5123",
"fax_number": "202-548-8600",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVAS",
"first_name": "ESTEVAN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-03-30",
"last_updated": "2024-07-08",
"certification_date": "2024-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CA",
"license": "20A22780",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "DC",
"license": "DO034859",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.