Organization Active NPI

Martha E Rivera M D Inc

  • Pediatrics Physician
  • Los Angeles, CA
National Provider Identifier
1689082232
Registry record updated Jul 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
G58728 Issued in CA
Legal business name
MARTHA E RIVERA M D INC
Practice address
1700 E Cesar E Chavez Ave
Suite # 3450
Los Angeles, CA 90033-2424
Phone
(323) 261-0250
Fax
(323) 261-0073
NPI assigned
Jul 28, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 28, 2014

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

Authorized official

Name
Dr. Martha E Rivera, M.D.
Title
Ceo
Phone
(818) 378-6687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X G58728 CA Primary

Addresses

Primary practice location

1700 E Cesar E Chavez Ave
Suite # 3450
Los Angeles, CA 90033-2424

Mailing address

1700 E Cesar E Chavez Ave
Suite # 3450
Los Angeles, CA 90033-2424
Phone (323) 261-0250

Other names 1

  • Optimal Healthcare Center Doing business as

National Provider Directory

National Provider Directory

Locations

1700 E Cesar E Chavez Ave
Ste 3450
Los Angeles, CA 90033
Phone (323) 261-0259

NPI Registry JSON

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

{
    "created_epoch": "1406505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1689082232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE # 3450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "323-261-0250",
            "fax_number": "323-261-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 E CESAR E CHAVEZ AVE",
            "address_2": "SUITE # 3450",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900332424",
            "telephone_number": "323-261-0250",
            "fax_number": "323-261-0073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTHA E RIVERA M D INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-28",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "RIVERA",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-378-6687",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "G58728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Optimal Healthcare Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Los Angeles, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.