Individual provider Active NPI

Hannah Krizzia Rivera, FNP-C

  • Family Nurse Practitioner
  • Danville, CA
National Provider Identifier
1720627185
Registry record updated Dec 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95012417 Issued in CA
Practice address
919 San Ramon Valley Blvd Ste 255
Danville, CA 94526-4051
Phone
(925) 718-8759
NPI assigned
Jan 3, 2020
Last updated
Dec 13, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 95012417 CA Primary

Addresses

Primary practice location

919 San Ramon Valley Blvd Ste 255
Danville, CA 94526-4051

Mailing address

1279 Windermere Way
Concord, CA 94521-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200831002771 CA Practitioner - Nurse Practitioner 6800213208 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

2123 Ygnacio Valley Rd
Suite K200
Walnut Creek, CA 94598-3336
Phone (925) 926-0195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
95012417CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
California Spine Center a Professional Medical Corporation CurrentSince Dec 1, 2023 Accepting new patients
Integrated Pain Management Medical Group, Inc. CurrentSince Aug 1, 2020 Accepting new patients
Tres Peros Inc PastSince Oct 10, 2020 Accepting new patients
Sutter Bay Medical Foundation PastSince Feb 1, 2022 Accepting new patients

Locations

6600 Lone Tree Way
Ste B
Brentwood, CA 94513
Phone (925) 276-9908

1393 Santa Rita Rd
Ste B
Pleasanton, CA 94566
Phone (925) 734-0100

5395 Ruffin Rd
Ste 202
San Diego, CA 92123
Phone (619) 688-7800

999 N Tustin Ave
Ste 201
Santa Ana, CA 92705
Phone (714) 975-7950

2800 N California St
Ste 15A
Stockton, CA 95204

2123 Ygnacio Valley Rd
Ste K200
Walnut Creek, CA 94598
Phone (925) 937-9357

450 N Wiget Ln
Walnut Creek, CA 94598
Phone (925) 413-4960

Interoperability endpoints

  • Direct secure messaging: hannah.rivera@22525392.chartlogic.direct-ci.com

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670889600000",
    "number": "1720627185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1279 WINDERMERE WAY",
            "city": "CONCORD",
            "state": "CA",
            "postal_code": "945213342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "919 SAN RAMON VALLEY BLVD STE 255",
            "city": "DANVILLE",
            "state": "CA",
            "postal_code": "945264051",
            "telephone_number": "925-718-8759"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "HANNAH KRIZZIA",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-03",
        "last_updated": "2022-12-13",
        "certification_date": "2022-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95012417",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, CA

Sources for this page

Verify at the official NPI Registry.