NPIMap

Organization Active NPI

Rivello Podiatry

  • Foot & Ankle Surgery Podiatrist
  • Visalia, CA
National Provider Identifier
1558193441
Registry record updated Oct 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Legal business name
RIVELLO PODIATRY
Practice address
6737 W Wren Ave
Visalia, CA 93291-8344
Phone
(602) 430-9057
Fax
(509) 752-6544
NPI assigned
Aug 19, 2024
Last updated
Oct 9, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2024

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

Authorized official

Name
Ms. Hazel Escullar Lloce
Title
Practice Manager
Phone
(480) 360-3853

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193200000X MULTI-SPECIALTY GROUP 213ES0103X Primary

Addresses

Primary practice location

6737 W Wren Ave
Visalia, CA 93291-8344

Mailing address

6737 W Wren Ave
Visalia, CA 93291-8344
Phone (602) 430-9057

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20241001000993 CA Part B Supplier - Clinic/Group Practice 3870024904 Receives reassigned benefits from 7 practitioners
Practice locations: Visalia, CA

National Provider Directory

National Provider Directory

Locations

1535 N China Lake Blvd
Ste B
Ridgecrest, CA 93555
Phone (661) 945-8717

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1724025600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1728432000000",
    "number": "1558193441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6737 W WREN AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918344",
            "telephone_number": "602-430-9057",
            "fax_number": "509-752-6544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6737 W WREN AVE",
            "city": "VISALIA",
            "state": "CA",
            "postal_code": "932918344",
            "telephone_number": "602-430-9057",
            "fax_number": "509-752-6544"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVELLO PODIATRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-19",
        "last_updated": "2024-10-09",
        "certification_date": "2024-10-09",
        "status": "A",
        "authorized_official_last_name": "LLOCE",
        "authorized_official_first_name": "HAZEL",
        "authorized_official_middle_name": "ESCULLAR",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "480-360-3853",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Visalia, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.