Active NPI
Amelia V Rivas, MA CCC SLP
- Speech-Language Pathologist
- Oakland, CA
National Provider Identifier
1609933720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 27316
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baby Builders, Inc | Current | Accepting new patients | |
| Pediatric Therapy Center | Speech-Language Pathologist | Past | Accepting new patients |
| 113015 Therapy, PLLC | Past | Accepting new patients | |
| Baby Builders, Inc | Past | 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.
-
- Developmental Disabilities Clinic/Center
- Oakland, CA
- NPI 1619390473
-
- Pediatric Physical Therapist
- Oakland, CA
- NPI 1194050625
-
- Pediatric Neurodevelopmental Disabilities Physician
- Houston, TX
- NPI 1033575840
-
- Speech-Language Pathologist
- Houston, TX
- NPI 1508067935
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.