Mark Jefferson Rivera, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

A157872 Issued in CA

Practice address

9735 Wilshire Blvd
Beverly Hills, CA 90212-2107

Phone

(661) 251-6300

Fax

(661) 443-8424

NPI assigned

Mar 19, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Mark Jefferson Rivera Professional name

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

• Direct secure messaging: mark.rivera.p1@direct.omnifamilyhealth.nextgenshare.com

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.

• Ajay G. Meka M.D. Inc.

  • Internal Medicine Physician
  • Santa Ana, CA
  • NPI 1932214657

  Family Medicine

  Medicare reassignment NPD
• Erick Madrigal, MD, Mba, Inc.

  • Family Medicine Physician
  • Porterville, CA
  • NPI 1609124692
  Medicare reassignment NPD
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Buttonwillow, CA
  • NPI 1700891660
  Medicare reassignment NPD
• SC Medical, Inc.

  • Urgent Care Clinic/Center
  • Santa Clarita, CA
  • NPI 1992078000
  Medicare reassignment
• Erick Madrigal MD Mba Inc

  • Rural Health Clinic/Center
  • Lindsay, CA
  • NPI 1295544682
  NPD
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Bakersfield, CA
  • NPI 1770399669
  NPD
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Shafter, CA
  • NPI 1861867590
  NPD
• Amistad Multi Specialty Medical Group Inc.

  • Cardiovascular Disease Physician
  • Santa Ana, CA
  • NPI 1912556721
  NPD (past)
• Benevolence Industries Inc.

  • Multi-Specialty Clinic/Center
  • Sylmar, CA
  • NPI 1831661529
  NPD (past)
• Mid City Associates Medical Group

  • Specialist
  • Sylmar, CA
  • NPI 1427113463
  NPD (past)
• Omni Family Health

  • Federally Qualified Health Center (FQHC)
  • Tehachapi, CA
  • NPI 1851325021
  NPD (past)

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

{
    "created_epoch": "1458345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692835200000",
    "number": "1780045682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "269 S BEVERLY DR",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902123851",
            "telephone_number": "323-685-8130",
            "fax_number": "310-695-2797"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9735 WILSHIRE BLVD",
            "city": "BEVERLY HILLS",
            "state": "CA",
            "postal_code": "902122107",
            "telephone_number": "661-251-6300",
            "fax_number": "661-443-8424"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1720 E Cesar E Chavez Ave",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "90033",
            "country_code": "US",
            "telephone_number": "323-268-5000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "MARK",
        "middle_name": "JEFFERSON",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-19",
        "last_updated": "2023-08-24",
        "certification_date": "2023-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0122X",
            "taxonomy_group": "",
            "desc": "Surgery, Plastic and Reconstructive Surgery",
            "state": "CA",
            "license": "A157872",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A157872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARK",
            "last_name": "RIVERA",
            "middle_name": "JEFFERSON",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• David Charles Rish, M.D.
• Rite Care Orthopedic Supplies, Inc
• Jolie Rosalily Rittenberry-Kraemer, MA
• Mollie Ritter, P.A.-C
• Emy L Rivera
• Mark Leon Rivin, LCSW
• Lawrence Rivkin, M.D.
• RJB Nursing Anesthesia Services Inc
• Roaz Medical Inc a Professional Corporation
• Michael Harry Robbins, D. D. S.

• Family Medicine Physician in Beverly Hills, CA
• Providers in Beverly Hills, CA by specialty
• Family Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.