Active NPI
Lesslie Conchita Rivera
- Student in an Organized Health Care Education/Training Program
- Jurupa Valley, CA
National Provider Identifier
1790696367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- Practice address
- 10551 Bellegrave Ave
Room E4
Jurupa Valley, CA 91752 - Phone
- (951) 360-2600
- NPI assigned
- Sep 14, 2026
- Sex
- Unspecified or another gender identity
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Primary |
Addresses
Primary practice location
10551 Bellegrave Ave
Room E4
Jurupa Valley, CA 91752
Mailing address
28930 Bay Ave
Moreno Valley, CA 92555-8206
Phone (213) 716-0761
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789344000000",
"number": "1790696367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "28930 BAY AVE",
"city": "MORENO VALLEY",
"state": "CA",
"postal_code": "925558206",
"telephone_number": "213-716-0761"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10551 BELLEGRAVE AVE",
"address_2": "ROOM E4",
"city": "JURUPA VALLEY",
"state": "CA",
"postal_code": "91752",
"telephone_number": "951-360-2600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "LESSLIE",
"middle_name": "CONCHITA",
"sole_proprietor": "NO",
"sex": "X",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jurupa Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.