Active NPI
Mary Ann Riveira, CRNA
- Certified Registered Nurse Anesthetist
- Lynwood, CA
National Provider Identifier
1528131786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- NA2154
- Practice address
- 3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010 - Phone
- (626) 300-0229
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | NA2154 | CA | Primary |
Addresses
Primary practice location
3510 Martin Luther King Jr Blvd
Lynwood, CA 90262-2010
Mailing address
1400 E Ocean Blvd
#2212
Long Beach, CA 90802-6934
Phone (562) 234-6866
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| RN4085640 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| NA2154 | CA | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metro Nursing Anesthesia Services Inc | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
| Uscan Anesthesiology Medical Group, Inc. | Nurse Anesthetist, Certified Registered | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Certified Registered Nurse Anesthetist
- Los Angeles, CA
- NPI 1578915005
Nurse Anesthetist, Certified Registered
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Los Angeles, CA
- NPI 1740227123
Nurse Anesthetist, Certified Registered
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1625097600000",
"number": "1528131786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E OCEAN BLVD",
"address_2": "#2212",
"city": "LONG BEACH",
"state": "CA",
"postal_code": "908026934",
"telephone_number": "562-234-6866",
"fax_number": "562-432-6053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3510 MARTIN LUTHER KING JR BLVD",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902622010",
"telephone_number": "626-300-0229"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVEIRA",
"first_name": "MARY",
"middle_name": "ANN",
"credential": "CRNA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2021-07-01",
"certification_date": "2021-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "CA",
"license": "NA2154",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "RN4085640",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.