Active NPI
Angel Luis Rivera Jr., M.D.
- Psychiatry Physician
- Visalia, CA
National Provider Identifier
1578610028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 192860-1
- Practice address
- 520 E Tulare Ave
Visalia, CA 93292-3629 - Phone
- (559) 623-0900
- NPI assigned
- Jan 5, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 192860-1 | NY | Primary |
Addresses
Primary practice location
520 E Tulare Ave
Visalia, CA 93292-3629
Mailing address
1166 City Park LN
Decatur, GA 30033-6500
Phone (858) 798-6651
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- State University of New York Downstate Medical Center, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
520 E Tulare Ave
Visalia, CA 93292-3629
Phone (559) 623-0900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 192860-1 | NY | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Tulare | Current | Accepting new patients | |
| County of Tulare | Current | Accepting new patients | |
| County of Tulare | Current | Accepting new patients | |
| County of Tulare | Current | Accepting new patients |
Locations
1055 W Henderson Ave
Porterville, CA 93257
Phone (559) 788-1200
520 E Tulare Ave
Visalia, CA 93292
5957 S Mooney Blvd
Visalia, CA 93277
Phone (559) 624-8000
Organizations & group practices 4
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.
-
- Community/Behavioral Health Agency
- Visalia, CA
- NPI 1407304678
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Porterville, CA
- NPI 1396779013
-
- Community/Behavioral Health Agency
- Porterville, CA
- NPI 1518418581
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Visalia, CA
- NPI 1770529752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600819200000",
"number": "1578610028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1166 CITY PARK LN",
"city": "DECATUR",
"state": "GA",
"postal_code": "300336500",
"telephone_number": "858-798-6651"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 E TULARE AVE",
"city": "VISALIA",
"state": "CA",
"postal_code": "932923629",
"telephone_number": "559-623-0900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANGEL",
"middle_name": "LUIS",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-05",
"last_updated": "2020-09-23",
"certification_date": "2020-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NY",
"license": "192860-1",
"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 Sep 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.