Individual provider Active NPI

Anastasia Rivera, ACSW

  • Clinical Social Worker
  • Bakersfield, CA
National Provider Identifier
1821544420
Registry record updated Nov 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
3727 Collingwood Dr
Bakersfield, CA 93311-8757
Phone
(661) 808-3513
NPI assigned
Sep 1, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2023

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X ASW78204 CA
Social Worker 104100000X
School Social Worker 1041S0200X 78204 CA
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

3727 Collingwood Dr
Bakersfield, CA 93311-8757

Mailing address

3727 Collingwood Dr
Bakersfield, CA 93311-8757
Phone (661) 808-3513

Other practice location 1

5121 Stockdale Hwy 275,
Bakersfield, CA 93309-5682
Phone (661) 808-3513

Other practice location 2

3105 Wilson Rd
Bakersfield, CA 93304-5319
Phone (661) 397-8775 ext. 4760

Other practice location 3

601 2nd St
Mc Farland, CA 93250-1121
Phone (661) 667-1420

Other identifiers 1

IdentifierTypeStateIssuer
104100000XMedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240208004497 CA Practitioner - Clinical Social Worker 7214370956 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
ASW78204CAMDMental Health Counselor
78204CAMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Omni Family Health CurrentSince Jan 15, 2024 Accepting new patients
Omni Family Health CurrentSince Jan 15, 2024 Accepting new patients
Anastasia Rivera Mental Wellness Services CurrentSince Aug 7, 2022 Accepting new patients
Omni Family Health Current Accepting new patients

Locations

4900 California Ave
Ste 400B
Bakersfield, CA 93309
Phone (661) 630-7046

1701 Stine Rd
Bakersfield, CA 93309
Phone (661) 770-3317

277 E Front St
Buttonwillow, CA 93206
Phone (661) 630-7381

355 Campus Dr
Ste E
Hanford, CA 93230
Phone (559) 584-0668

925 G St
Reedley, CA 93654
Phone (559) 558-9712

Interoperability endpoints

  • Direct secure messaging: anastasia.rivera.p1@direct.omnifamilyhealth.nextgenshare.com

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1472688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1821544420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3727 COLLINGWOOD DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118757",
            "telephone_number": "661-808-3513"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3727 COLLINGWOOD DR",
            "city": "BAKERSFIELD",
            "state": "CA",
            "postal_code": "933118757",
            "telephone_number": "661-808-3513"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5121 Stockdale Hwy 275,",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933095682",
            "country_code": "US",
            "telephone_number": "661-808-3513",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3105 Wilson Rd",
            "address_purpose": "LOCATION",
            "city": "Bakersfield",
            "state": "CA",
            "postal_code": "933045319",
            "country_code": "US",
            "telephone_number": "661-397-8775 x4760",
            "fax_number": "661-397-8286",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 2nd St",
            "address_purpose": "LOCATION",
            "city": "Mc Farland",
            "state": "CA",
            "postal_code": "932501121",
            "country_code": "US",
            "telephone_number": "661-667-1420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANASTASIA",
        "credential": "ACSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-01",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CA",
            "license": "ASW78204",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "CA",
            "license": "78204",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "104100000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bakersfield, CA

Sources for this page

Verify at the official NPI Registry.