Individual provider Active NPI

Lesslie Conchita Rivera

  • Student in an Organized Health Care Education/Training Program
  • Jurupa Valley, CA
National Provider Identifier
1790696367
Registry record updated Sep 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
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

Updated by the provider on Sep 14, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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.

Verify at the official NPI Registry.