Eliza Rivera Mitu Aprn FNP C a Professional Nursing Corporation

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

Legal business name

ELIZA RIVERA MITU APRN FNP C A PROFESSIONAL NURSING CORPORATION

Practice address

11100 Warner Ave Ste 162
Fountain Valley, CA 92708-7510

Phone

(562) 786-6723

Fax

(562) 786-6956

NPI assigned

Apr 13, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Eliza Rivera-Mitu, PMHNP-BC, FNP-CNPI 1104167758

Title

Ceo

Phone

(562) 786-6723

Specialties & licenses 8

Addresses

Other names 2

• Angeles Health and Wellness Center Doing business as
• Muscle Xyience Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Interoperability endpoints

• Direct secure messaging: angeleshealthandwellness@direct.practicefusion.com

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Eliza Rivera-Mitu, PMHNP-BC, FNP-C

  • Primary Care Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1104167758

  Psychiatric/Mental Health

  Medicare reassignment NPD Authorized official
• Brian Paul Mitu, F.N.P., P.A.-C

  • Primary Care Nurse Practitioner
  • Fountain Valley, CA
  • NPI 1528015849

  Physician Assistant

  Medicare reassignment NPD

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

{
    "created_epoch": "1649808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1781568000000",
    "number": "1780326280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21515 HAWTHORNE BLVD STE 200",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905036512",
            "telephone_number": "562-786-6723",
            "fax_number": "562-786-6956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 WARNER AVE STE 162",
            "city": "FOUNTAIN VALLEY",
            "state": "CA",
            "postal_code": "927087510",
            "telephone_number": "562-786-6723",
            "fax_number": "562-786-6956"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21515 Hawthorne Blvd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Torrance",
            "state": "CA",
            "postal_code": "905036512",
            "country_code": "US",
            "telephone_number": "562-786-6723",
            "fax_number": "562-786-6956",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ELIZA RIVERA MITU APRN FNP C A PROFESSIONAL NURSING CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-04-13",
        "last_updated": "2026-06-16",
        "certification_date": "2026-06-16",
        "status": "A",
        "authorized_official_last_name": "RIVERA-MITU",
        "authorized_official_first_name": "ELIZA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "562-786-6723",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PMHNP-BC, FNP-C"
    },
    "taxonomies": [
        {
            "code": "163WD0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Diabetes Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RE0101X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Angeles Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Angeles Health and Wellness Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Muscle Xyience",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Stephanie Tuason Ehret
• Gabrielle Udochi Eke
• Amal Elali, PA-C
• Kimberly Elguera
• Ramy Elias, M.D.
• Elizabeth Wong, Crna Apnc
• Eugene D. Elliott, M.D.
• Sarah Elsayed, M.D.
• Hailey Emett, RBT
• End the Ocd & Anxiety Cycle LLC

• Primary Care Nurse Practitioner in Fountain Valley, CA
• Providers in Fountain Valley, CA by specialty
• Primary Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.