Organization Active NPI

Luis M Rivera MD Inc

  • Anesthesiology Physician
  • San Diego, CA
National Provider Identifier
1619157351
Registry record updated Nov 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
A69601 Issued in CA
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

Updated by the provider on Nov 9, 2007

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)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1255375341OtherCANPI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.