Active NPI
Jesse Jay Rivera, RN, BSN, MS, CRNA
- Certified Registered Nurse Anesthetist
- La Jolla, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 3576
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | info@sca-inc.com | Health Information Exchange (HIE) |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, WV
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 3576 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Valley Hospital of W VA , Inc | Current | Accepting new patients | |
| Zachary C Cohen MD Apc | Current | Accepting new patients | |
| Jr Anesthesia Inc | Current | Accepting new patients | |
| Potomac Valley Hospital of W VA , Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Equanimity Anesthesia Professional Corporation | Current | Accepting new patients | |
| Zachary C Cohen MD Apc | Current | Accepting new patients | |
| Potomac Valley Hospital of WV, Inc. | Current | Accepting new patients | |
| Coastal a S C LLC | Current | 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.
-
- Ambulatory Surgical Clinic/Center
- Carlsbad, CA
- NPI 1326702457
-
- Anesthesiology Physician
- San Diego, CA
- NPI 1942024393
-
- Pain Medicine Physician
- San Diego, CA
- NPI 1689334468
-
- Emergency Medicine Physician
- Keyser, WV
- NPI 1316054919
Nurse Anesthetist, Certified Registered
-
- Critical Access Hospital
- Keyser, WV
- NPI 1912979873
-
- Health Service Clinic/Center
- Chula Vista, CA
- NPI 1356979215
-
- Interventional Pain Medicine Physician
- San Diego, CA
- NPI 1790589570
-
- Internal Medicine Physician
- Keyser, WV
- NPI 1578305256
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.