Renee Jill Rivera

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

License

364595 Issued in CA

Practice address

2000 Alameda de Las Pulgas Ste 200
San Mateo, CA 94403-1293

Phone

(415) 994-8704

NPI assigned

Jun 25, 2025

Last updated

Jun 25, 2025By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1750809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750809600000",
    "number": "1750279089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880921",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941880921",
            "telephone_number": "415-994-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 ALAMEDA DE LAS PULGAS STE 200",
            "city": "SAN MATEO",
            "state": "CA",
            "postal_code": "944031293",
            "telephone_number": "415-994-8704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "RENEE",
        "middle_name": "JILL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-06-25",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": "CA",
            "license": "364595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rite Aid
• Dale Joseph Ritzo, M.D.
• Anna Rivera
• Georgina Verenice Rivera
• Krissandra M. Rivera, RN
• Sandra Elsy Rivera
• Veronica Rivera
• Louise M. Robaina
• Karisman Roberts-Douglass
• Leah Marie Robertson, BSN,RN,CEFM

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in San Mateo, CA
• Providers in San Mateo, CA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2025; 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.