Active NPI
Ma Ione Skye Rivera
- Licensed Vocational Nurse
- Simi Valley, CA
National Provider Identifier
1669334074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 755548
- Practice address
- 660 E Los Angeles Ave Ste B2
Simi Valley, CA 93065-1884 - Phone
- (805) 522-1845
- NPI assigned
- Nov 25, 2025
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 755548 | CA | Primary |
Addresses
Primary practice location
660 E Los Angeles Ave Ste B2
Simi Valley, CA 93065-1884
Mailing address
660 E Los Angeles Ave Ste B2
Simi Valley, CA 93065-1884
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 755548 | CA | MD | Licensed Vocational Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764028800000",
"number": "1669334074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "660 E LOS ANGELES AVE STE B2",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "660 E LOS ANGELES AVE STE B2",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "930651884",
"telephone_number": "805-522-1845"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MA IONE SKYE",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2025-11-25",
"last_updated": "2025-11-25",
"certification_date": "2025-11-25",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "755548",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simi Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.