Individual provider Active NPI

Andrea Rivas, M.D.

  • Pediatrics Physician
  • Salinas, CA
National Provider Identifier
1588058887
Registry record updated Jun 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
A155933 Issued in CA
Practice address
950 Circle Dr
Salinas, CA 93905
Phone
(831) 757-8689
NPI assigned
Mar 24, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208000000X A155933 CA Primary

Addresses

Primary practice location

950 Circle Dr
Salinas, CA 93905

Mailing address

Baystate Medical Ctr
759 Cestnut Street
Springfield, MA 01199-0001
Phone (413) 794-0000

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181016001066 CA Practitioner - Pediatric Medicine 3274847868 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A155933CAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Clinica de Salud del Valle de Salinas Multi-Specialty Current Accepting new patients
Clinica de Salud del Valle de Salinas CurrentSince Nov 1, 2024 Accepting new patients
Romie Lane Pediatric Group, Inc Past Accepting new patients

Locations

219 N Sanborn Rd
Salinas, CA 93905
Phone (831) 757-1365

950 Circle Dr
Salinas, CA 93905
Phone (831) 757-6237

55 Plaza Cir
Ste A
Salinas, CA 93901
Phone (831) 757-0434

Interoperability endpoints

  • Direct secure messaging: andrea.rivas.p1@direct.csvs.nextgenshare.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1427155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529712000000",
    "number": "1588058887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "BAYSTATE MEDICAL CTR",
            "address_2": "759 CESTNUT STREET",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011990001",
            "telephone_number": "413-794-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "950 CIRCLE DR",
            "city": "SALINAS",
            "state": "CA",
            "postal_code": "93905",
            "telephone_number": "831-757-8689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "ANDREA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-24",
        "last_updated": "2018-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "A155933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salinas, CA

Sources for this page

Verify at the official NPI Registry.