Active NPI
Julio Cesar Rivas
- Dental Assistant
- Bellflower, CA
National Provider Identifier
1790301919
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dental Assistant
- License
- 60742
- Practice address
- 9517 Mayne St
Bellflower, CA 90706-5216 - Phone
- (323) 395-9267
- NPI assigned
- Jun 23, 2020
- Last updated
- Jun 23, 2020
- 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 |
|---|---|---|---|---|
| Dental Assistant | 126800000X | 60742 | CA | Primary |
Addresses
Primary practice location
9517 Mayne St
Bellflower, CA 90706-5216
Mailing address
11635 South St
Artesia, CA 90701-6628
Phone (310) 820-9933
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60742 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1592870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592870400000",
"number": "1790301919",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11635 SOUTH ST",
"city": "ARTESIA",
"state": "CA",
"postal_code": "907016628",
"telephone_number": "310-820-9933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9517 MAYNE ST",
"city": "BELLFLOWER",
"state": "CA",
"postal_code": "907065216",
"telephone_number": "323-395-9267"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVAS",
"first_name": "JULIO",
"middle_name": "CESAR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-06-23",
"last_updated": "2020-06-23",
"certification_date": "2020-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "126800000X",
"taxonomy_group": "",
"desc": "Dental Assistant",
"state": "CA",
"license": "60742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bellflower, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.