Individual provider Active NPI

Kristine Rivera

  • Family Nurse Practitioner
  • Los Angeles, CA
National Provider Identifier
1750009650
Registry record updated Dec 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
95021748 Issued in CA
Practice address
127 S San Vicente Blvd Ste A6100
Los Angeles, CA 90048-3311
Phone
(310) 423-2077
NPI assigned
Aug 16, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2023

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 95021748 CA Primary

Addresses

Primary practice location

127 S San Vicente Blvd Ste A6100
Los Angeles, CA 90048-3311

Mailing address

5050 Klump Ave Apt 110
North Hollywood, CA 91601-5009
Phone (908) 868-6102

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
I20240529004164 CA Practitioner - Nurse Practitioner 1759723257 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Cedars-Sinai Medical Care FoundationGroup PAC ID 0941106645, 1,684 clinicians
Cedars-Sinai Medical CenterGroup PAC ID 0446169114, 788 clinicians

Practice addresses (Care Compare)

8670 Wilshire Blvd
Suite 200
Beverly Hills, CA 90211-2930
Phone (310) 423-9317

8700 Beverly Blvd
West Hollywood, CA 90048-1804
Phone (310) 423-5000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95021748CAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Cedars-Sinai Medical Center CurrentSince May 6, 2024 Accepting new patients
Cedars-Sinai Medical Center CurrentSince May 6, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 29, 2024 Accepting new patients
Cedars-Sinai Medical Care Foundation CurrentSince May 29, 2024 Accepting new patients
Cedars-Sinai Medical Center Past Accepting new patients

Locations

8670 Wilshire Blvd
Ste 200
Beverly Hills, CA 90211
Phone (310) 248-8300

8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674

127 S San Vicente Blvd
Ste A6100
Los Angeles, CA 90048
Phone (310) 423-2077

4140 W 190th St
Torrance, CA 90504
Phone (310) 967-1780

8700 Beverly Blvd
West Hollywood, CA 90048
Phone (310) 385-3291

Interoperability endpoints

  • Direct secure messaging: krivera497886@direct.cshs.org
  • Direct secure messaging: kristine.riveranp.p1@direct.plannedparenthoodla.nextgenshare.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703894400000",
    "number": "1750009650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5050 KLUMP AVE APT 110",
            "city": "NORTH HOLLYWOOD",
            "state": "CA",
            "postal_code": "916015009",
            "telephone_number": "908-868-6102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "127 S SAN VICENTE BLVD STE A6100",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900483311",
            "telephone_number": "310-423-2077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "KRISTINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-12-30",
        "certification_date": "2023-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95021748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Los Angeles, CA

Sources for this page

Verify at the official NPI Registry.