Active NPI
Martha E. Rivera, M.D.
- Pediatrics Physician
- Tujunga, CA
National Provider Identifier
1851329981
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- G58728
- Practice address
- 7133 Estepa Dr
Tujunga, CA 91042-3105 - Phone
- (323) 261-0259
- Fax
- (323) 843-2612
- NPI assigned
- Jun 29, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Infectious Diseases Physician | 2080P0208X | G58728 | CA | |
| Pediatrics Physician | 208000000X | G58728 | CA | Primary |
Addresses
Primary practice location
7133 Estepa Dr
Tujunga, CA 91042-3105
Mailing address
7133 Estepa Dr
Tujunga, CA 91042-3105
Phone (323) 261-0259
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G58728 | CA | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151539200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729036800000",
"number": "1851329981",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7133 ESTEPA DR",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910423105",
"telephone_number": "323-261-0259",
"fax_number": "323-843-2612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7133 ESTEPA DR",
"city": "TUJUNGA",
"state": "CA",
"postal_code": "910423105",
"telephone_number": "323-261-0259",
"fax_number": "323-843-2612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARTHA",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-29",
"last_updated": "2024-10-16",
"certification_date": "2024-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0208X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Infectious Diseases",
"state": "CA",
"license": "G58728",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "CA",
"license": "G58728",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tujunga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.