Active NPI
Daniel Rivera, RN
- Registered Nurse
- Santa Ana, CA
National Provider Identifier
1760866321
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 624481
- Practice address
- 405 W 5TH St
Suite 658
Santa Ana, CA 92701-4599 - Phone
- (714) 834-3101
- Fax
- (714) 834-4445
- NPI assigned
- Jul 14, 2015
- 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 |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 624481 | CA | Primary |
Addresses
Primary practice location
405 W 5TH St
Suite 658
Santa Ana, CA 92701-4599
Mailing address
15202 Flallon Ave
Norwalk, CA 90650-6427
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)
- Not enrolled
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 624481 | CA | MD | Registered Nurse |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1436832000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1436832000000",
"number": "1760866321",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15202 FLALLON AVE",
"city": "NORWALK",
"state": "CA",
"postal_code": "906506427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "405 W 5TH ST",
"address_2": "SUITE 658",
"city": "SANTA ANA",
"state": "CA",
"postal_code": "927014599",
"telephone_number": "714-834-3101",
"fax_number": "714-834-4445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"credential": "RN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-07-14",
"last_updated": "2015-07-14",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "CA",
"license": "624481",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Ana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.