Organization Active NPI

Rivera Pain Consultants PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Phoenix, AZ
National Provider Identifier
1619522893
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
RIVERA PAIN CONSULTANTS PLLC
Practice address
5151 E Pinchot Ave
Phoenix, AZ 85018-7910
Phone
(949) 723-9603
Fax
(949) 209-3016
NPI assigned
Aug 5, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Authorized official

Name
Dr. Edouard E Rivera, MD
Title
Statutory Agent
Phone
(949) 723-9603

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207L00000X
Pain Medicine (Anesthesiology) PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207LP2900X Primary

Addresses

Primary practice location

5151 E Pinchot Ave
Phoenix, AZ 85018-7910

Mailing address

5151 E Pinchot Ave
Phoenix, AZ 85018-7910
Phone (949) 723-9603

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629763200000",
    "number": "1619522893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 E PINCHOT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187910",
            "telephone_number": "949-723-9603",
            "fax_number": "949-644-2377"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5151 E PINCHOT AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850187910",
            "telephone_number": "949-723-9603",
            "fax_number": "949-209-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RIVERA PAIN CONSULTANTS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-05",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-24",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "EDOUARD",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "STATUTORY AGENT",
        "authorized_official_telephone_number": "949-723-9603",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.