Active NPI
Anna Rivera, PH.D.
- Clinical Psychologist
- Los Angeles, CA
National Provider Identifier
1750413498
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Psychologist
- License
- PSY22180
- Practice address
- 1600 Campus Rd
F-57
Los Angeles, CA 90041-3314 - Phone
- (323) 259-2657
- Fax
- (323) 341-4970
- NPI assigned
- Mar 9, 2007
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Clinical Psychologist | 103TC0700X | PSY22180 | CA | Primary |
Addresses
Primary practice location
1600 Campus Rd
F-57
Los Angeles, CA 90041-3314
Mailing address
1600 Campus Rd
F-57
Los Angeles, CA 90041-3314
Phone (323) 259-2657
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PSY22180 | Other | CA | BOARD OF PSYCHOLOGY |
| ICAN755 | Other | CA | DMH STAFF CODE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PSY22180 | CA | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emmons Student Wellness Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Student Health Clinic/Center
- Los Angeles, CA
- NPI 1275937682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173398400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1385078400000",
"number": "1750413498",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 CAMPUS RD",
"address_2": "F-57",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413314",
"telephone_number": "323-259-2657",
"fax_number": "323-341-4970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 CAMPUS RD",
"address_2": "F-57",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900413314",
"telephone_number": "323-259-2657",
"fax_number": "323-341-4970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANNA",
"credential": "PH.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-09",
"last_updated": "2013-11-22",
"status": "A"
},
"taxonomies": [
{
"code": "103TC0700X",
"taxonomy_group": "",
"desc": "Psychologist, Clinical",
"state": "CA",
"license": "PSY22180",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BOARD OF PSYCHOLOGY",
"identifier": "PSY22180",
"state": "CA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DMH STAFF CODE",
"identifier": "ICAN755",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.