Active NPI
Adela Carmen Rivera, RD
- Health Educator
- Covina, CA
National Provider Identifier
1508191107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Health Educator
- License
- 0083984
- Practice address
- 773 S Oak Tree Dr
Covina, CA 91723-3614 - Phone
- (626) 823-5802
- NPI assigned
- Oct 15, 2009
- 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 |
|---|---|---|---|---|
| Health Educator | 174H00000X | 0083984 | CA | Primary |
Addresses
Primary practice location
773 S Oak Tree Dr
Covina, CA 91723-3614
Mailing address
773 S Oak Tree Drive
Covina, CA 91723
Phone (626) 823-5802
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 |
|---|---|---|---|
| 0083984 | CA | MD | Health Educator |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1255564800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1255564800000",
"number": "1508191107",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "773 S OAK TREE DRIVE",
"city": "COVINA",
"state": "CA",
"postal_code": "91723",
"telephone_number": "626-823-5802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "773 S OAK TREE DR",
"city": "COVINA",
"state": "CA",
"postal_code": "917233614",
"telephone_number": "626-823-5802"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ADELA",
"middle_name": "CARMEN",
"name_prefix": "Mrs.",
"credential": "RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-10-15",
"last_updated": "2009-10-15",
"status": "A"
},
"taxonomies": [
{
"code": "174H00000X",
"taxonomy_group": "",
"desc": "Health Educator",
"state": "CA",
"license": "0083984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Covina, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.