Individual provider Active NPI

Nelson Omar Rios, NP

  • Family Nurse Practitioner
  • Calexico, CA
National Provider Identifier
1497455810
Registry record updated Nov 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95024493 Issued in CA
Practice address
120 W Cole Blvd
Calexico, CA 92231-9700
Phone
(912) 251-2567
NPI assigned
Mar 6, 2023
Last updated
Nov 2, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 2, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95024493 CA Primary

Addresses

Primary practice location

120 W Cole Blvd
Calexico, CA 92231-9700

Mailing address

1180 N Indian Canyon Dr Ste 420
Palm Springs, CA 92262-4859
Phone (760) 778-7147

Other practice location 1

1180 N Indian Canyon Dr Ste 420
Palm Springs, CA 92262-4859
Phone (760) 778-7147

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250108003357 CA Practitioner - Nurse Practitioner 3678001369 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Clinicas del Valle a Professional CorpGroup PAC ID 9436557428, 3 clinicians
Desert Care Clinic ApcGroup PAC ID 6305335407, 8 clinicians
Dap Health IncGroup PAC ID 6002989522, 67 clinicians

Practice addresses (Care Compare)

120 W Cole Blvd
Suite B
Calexico, CA 92231-9700
Phone (760) 890-0190

444 S 8TH St
El Centro, CA 92243-3236
Phone (760) 678-0252

69175 Ramon Rd
BLDG a
Cathedral City, CA 92234-3344
Phone (760) 321-6776

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95024493CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Clinicas del Valle a Professional Corp CurrentSince Nov 13, 2024 Accepting new patients
Dap Health Inc. Current Accepting new patients
Desert Care Clinic Apc CurrentSince Oct 18, 2025 Accepting new patients
Dap Health, Inc. CurrentSince Jan 4, 2025 Accepting new patients
Dap Health, Inc. CurrentSince Jan 4, 2025 Accepting new patients

Locations

4231 US Highway 86
Ste 6
Brawley, CA 92227
Phone (760) 790-0005

120 W Cole Blvd
Ste B
Calexico, CA 92231
Phone (323) 843-3668

69175 Ramon Rd
#A
Cathedral Cty, CA 92234
Phone (760) 321-6776

444 S 8th St
El Centro, CA 92243
Phone (760) 678-0252

1695 N Sunrise Way
Palm Springs, CA 92262
Phone (760) 325-9370

Interoperability endpoints

  • Direct secure messaging: nrios684853@direct.ochin.org

Organizations & group practices 5

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.

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": "1678060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730505600000",
    "number": "1497455810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1180 N INDIAN CANYON DR STE 420",
            "city": "PALM SPRINGS",
            "state": "CA",
            "postal_code": "922624859",
            "telephone_number": "760-778-7147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 W COLE BLVD",
            "city": "CALEXICO",
            "state": "CA",
            "postal_code": "922319700",
            "telephone_number": "912-251-2567"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1180 N Indian Canyon Dr Ste 420",
            "address_purpose": "LOCATION",
            "city": "Palm Springs",
            "state": "CA",
            "postal_code": "922624859",
            "country_code": "US",
            "telephone_number": "760-778-7147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIOS",
        "first_name": "NELSON",
        "middle_name": "OMAR",
        "name_prefix": "Mr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-03-06",
        "last_updated": "2024-11-02",
        "certification_date": "2024-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95024493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Calexico, CA

Sources for this page

Verify at the official NPI Registry.