Active NPI
Matilde Reyna Rivera
- Addiction (Substance Use Disorder) Counselor
- Montebello, CA
National Provider Identifier
1497971683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 051057
- Practice address
- 501 N. 4TH Street
Montebello, CA 90640 - Phone
- (323) 262-1786
- Fax
- (323) 262-2659
- NPI assigned
- Apr 17, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 051057 | CA | Primary |
Addresses
Primary practice location
501 N. 4TH Street
Montebello, CA 90640
Mailing address
501 N. 4TH Street
Montebello, CA 90640
Phone (323) 262-1786
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 051057 | CA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176768000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497971683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 N. 4TH STREET",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "323-262-1786",
"fax_number": "323-262-2659"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N. 4TH STREET",
"city": "MONTEBELLO",
"state": "CA",
"postal_code": "90640",
"telephone_number": "323-262-1786",
"fax_number": "323-262-2659"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MATILDE",
"middle_name": "REYNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-17",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "CA",
"license": "051057",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Montebello, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.