Tony Rivera, ATC

Primary specialty

Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X

License

2000058675 Issued in CA

Practice address

3169 Juanita St
Riverside, CA 92504-4513

Phone

(909) 641-1711

NPI assigned

Mar 6, 2026

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1772755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772755200000",
    "number": "1508712043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3169 JUANITA ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044513",
            "telephone_number": "909-641-1711"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3169 JUANITA ST",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925044513",
            "telephone_number": "909-641-1711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "TONY",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-03-06",
        "last_updated": "2026-03-06",
        "certification_date": "2026-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "CA",
            "license": "2000058675",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pauline Rivera, ACSW
• Priscilla Rivera
• Raquel Rivera
• Rozlyn Victoria Rivera
• Ruth Rivera
• Valeria Mireya Rivera
• Yvonna Rivera
• Lisa Rae Riverashumway, PT
• Rivercrest MRI, Inc.
• Rivercrest Physical Therapy, Inc.

• Sports Medicine (Emergency Medicine) Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• Sports Medicine (Emergency Medicine) Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.