Individual provider Active NPI

Amelia V Rivas, MA CCC SLP

  • Speech-Language Pathologist
  • Oakland, CA
National Provider Identifier
1609933720
Registry record updated Mar 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
27316 Issued in CA
Practice address
4179 Piedmont Ave Ste 201
Oakland, CA 94611-5187
Phone
(510) 333-4579
Fax
(510) 740-3491
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X 27316 CA Primary

Addresses

Primary practice location

4179 Piedmont Ave Ste 201
Oakland, CA 94611-5187

Mailing address

4179 Piedmont Ave Ste 201
Oakland, CA 94611-5187
Phone (510) 333-4579

Electronic endpoints 1

TypeEndpointUseAffiliation
SOAP URL Oakland Other

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Baby Builders, Inc CurrentSince Mar 1, 2020 Accepting new patients
Pediatric Therapy Center Speech-Language Pathologist Past Accepting new patients
113015 Therapy, PLLC Past Accepting new patients
Baby Builders, Inc PastSince Mar 1, 2020 Accepting new patients

Locations

4179 Piedmont Ave
Ste 201
Oakland, CA 94611
Phone (510) 333-4579

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.

NPI Registry JSON

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

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583366400000",
    "number": "1609933720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4179 PIEDMONT AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115187",
            "telephone_number": "510-333-4579",
            "fax_number": "510-740-3491"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4179 PIEDMONT AVE STE 201",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946115187",
            "telephone_number": "510-333-4579",
            "fax_number": "510-740-3491"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "AMELIA",
        "middle_name": "V",
        "name_prefix": "Mrs.",
        "credential": "MA CCC SLP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2020-03-05",
        "certification_date": "2020-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "CA",
            "license": "27316",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Oakland",
            "affiliation": "N",
            "endpointDescription": "Secure HIPPA link",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "Oakland",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Oakland",
            "address_1": "4179 Piedmont Ave Ste 201",
            "city": "Oakland",
            "state": "CA",
            "country_code": "US",
            "postal_code": "946115187",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oakland, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.