Individual provider Active NPI

Jesse Jay Rivera, RN, BSN, MS, CRNA

  • Certified Registered Nurse Anesthetist
  • La Jolla, CA
National Provider Identifier
1699812230
Registry record updated Mar 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
3576 Issued in CA
Practice address
9850 Genesee Ave Ste 880
La Jolla, CA 92037-1233
Phone
(858) 404-9929
NPI assigned
Jan 31, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 3576 CA Primary

Addresses

Primary practice location

9850 Genesee Ave Ste 880
La Jolla, CA 92037-1233

Mailing address

8861 Villa la Jolla Dr # 12237
La Jolla, CA 92037-1918
Phone (760) 297-1284

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sca-inc.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, WV2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20151210001500 CA Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426366923 Reassigns benefits to 3 organizations
I20241217001970 WV Practitioner - Certified Registered Nurse Anesthetist (Crna) 8426366923 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
95.34 of 100Reported as apm
Quality
79.86
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Bachelor on Science - Nursing, Master of Science, Registered Nurse

State licenses

LicenseStateTypeSpecialty
3576CAMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Potomac Valley Hospital of W VA , Inc Current Accepting new patients
Zachary C Cohen MD Apc CurrentSince Mar 25, 2025 Accepting new patients
Jr Anesthesia Inc CurrentSince Mar 29, 2020 Accepting new patients
Potomac Valley Hospital of W VA , Inc Nurse Anesthetist, Certified Registered CurrentSince Nov 4, 2024 Accepting new patients
Equanimity Anesthesia Professional Corporation CurrentSince Jan 3, 2026 Accepting new patients
Zachary C Cohen MD Apc CurrentSince Mar 25, 2025 Accepting new patients
Potomac Valley Hospital of WV, Inc. CurrentSince Nov 4, 2024 Accepting new patients
Coastal a S C LLC CurrentSince Aug 18, 2024 Accepting new patients

Locations

6221 Metropolitan St
Ste 102
Carlsbad, CA 92009
Phone (760) 607-1750

488 E Valley Pkwy
Ste 100
Escondido, CA 92025
Phone (760) 546-4386

5395 Ruffin Rd
Ste 204
San Diego, CA 92123

100 Pin Oak Ln
Keyser, WV 26726
Phone (304) 597-3500

100 Pin Oak Ln
Ste 3
Keyser, WV 26726
Phone (304) 597-3790

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585267200000",
    "number": "1699812230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8861 VILLA LA JOLLA DR # 12237",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371918",
            "telephone_number": "760-297-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9850 GENESEE AVE STE 880",
            "city": "LA JOLLA",
            "state": "CA",
            "postal_code": "920371233",
            "telephone_number": "858-404-9929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "JESSE",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "RN, BSN, MS, CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-03-27",
        "certification_date": "2020-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "CA",
            "license": "3576",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sca-inc.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "pdf Files",
            "address_1": "9850 Genesee Ave Ste 880",
            "city": "LA Jolla",
            "state": "CA",
            "country_code": "US",
            "postal_code": "920371233",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in La Jolla, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.