Active NPI
Anthony Rivas
- Eyewear Supplier
- Brentwood, CA
National Provider Identifier
1518429620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Eyewear Supplier
- Practice address
- 4441 Balfour Rd Ste B
Brentwood, CA 94513-1409 - Phone
- (925) 308-5756
- NPI assigned
- Apr 5, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Eyewear Supplier | 332H00000X | Primary |
Addresses
Primary practice location
4441 Balfour Rd Ste B
Brentwood, CA 94513-1409
Mailing address
4804 Woodbridge Way
Antioch, CA 94531-8114
Phone (415) 516-1786
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1554422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1560211200000",
"number": "1518429620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4804 WOODBRIDGE WAY",
"city": "ANTIOCH",
"state": "CA",
"postal_code": "945318114",
"telephone_number": "415-516-1786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4441 BALFOUR RD STE B",
"city": "BRENTWOOD",
"state": "CA",
"postal_code": "945131409",
"telephone_number": "925-308-5756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-04-05",
"last_updated": "2019-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "332H00000X",
"taxonomy_group": "",
"desc": "Eyewear Supplier",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brentwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.