Individual provider Active NPI

Jose L Rivas, MD

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Huntington Park, CA
National Provider Identifier
1801897681
Registry record updated Jul 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X
License
A33853 Issued in CA
Practice address
3100 E Florence Ave
Ste 7
Huntington Park, CA 90255-5848
Phone
(323) 583-6361
Fax
(323) 583-2923
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician 208G00000X A33853 CA Primary

Addresses

Primary practice location

3100 E Florence Ave
Ste 7
Huntington Park, CA 90255-5848

Mailing address

3100 E Florence Ave
Ste 7
Huntington Park, CA 90255-5848
Phone (323) 583-6361

Other identifiers 1

IdentifierTypeStateIssuer
00A33853MedicaidCA

Other names 1

  • Dr. Jose L Rivas-Belfort Other name

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)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A33853CAMDThoracic Surgery (Cardiothoracic Vascular Surgery) Physician
33853CAMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280448000000",
    "number": "1801897681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "STE 7",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-6361",
            "fax_number": "323-583-2923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 E FLORENCE AVE",
            "address_2": "STE 7",
            "city": "HUNTINGTON PARK",
            "state": "CA",
            "postal_code": "902555848",
            "telephone_number": "323-583-6361",
            "fax_number": "323-583-2923"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "JOSE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2010-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "CA",
            "license": "A33853",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A33853",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOSE",
            "last_name": "RIVAS-BELFORT",
            "middle_name": "L",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Huntington Park, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.