Active NPI
Luis M Rivera MD Inc
- Anesthesiology Physician
- San Diego, CA
National Provider Identifier
1619157351
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- A69601
- Legal business name
- LUIS M RIVERA MD INC
- Practice address
- 9555 Chesapeake Dr Ste 202
San Diego, CA 92123-6394 - Phone
- (858) 495-0971
- Fax
- (858) 495-0991
- NPI assigned
- Nov 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Luis M Rivera, MD
- Title
- President
- Phone
- (858) 495-0971
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A69601 | CA | Primary |
Addresses
Primary practice location
9555 Chesapeake Dr Ste 202
San Diego, CA 92123-6394
Mailing address
9555 Chesapeake Dr Ste 202
San Diego, CA 92123-6394
Phone (858) 495-0971
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255375341 | Other | CA | NPI |
National Provider Directory
National Provider DirectoryLocations
9555 Chesapeake Dr
Ste 202
San Diego, CA 92123
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1194566400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1619157351",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9555 CHESAPEAKE DR STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921236394",
"telephone_number": "858-495-0971",
"fax_number": "858-495-0991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9555 CHESAPEAKE DR STE 202",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921236394",
"telephone_number": "858-495-0971",
"fax_number": "858-495-0991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LUIS M RIVERA MD INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-09",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "RIVERA",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "858-495-0971",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": "CA",
"license": "A69601",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1255375341",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Diego, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.