Active NPI
Riviera Stanford
- Other Specialist/Technologist
- Glendale, CA
National Provider Identifier
1871322768
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- License
- 130028
- Practice address
- 1162 Sonora Ave
Glendale, CA 91201-1937 - Phone
- (818) 242-4984
- NPI assigned
- Jul 29, 2024
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | 130028 | Primary |
Addresses
Primary practice location
1162 Sonora Ave
Glendale, CA 91201-1937
Mailing address
1162 Sonora Ave
Glendale, CA 91201-1937
Phone (818) 242-4984
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722211200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1871322768",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1162 SONORA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011937",
"telephone_number": "818-242-4984"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1162 SONORA AVE",
"city": "GLENDALE",
"state": "CA",
"postal_code": "912011937",
"telephone_number": "818-242-4984"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANFORD",
"first_name": "RIVIERA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-07-29",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": null,
"license": "130028",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Glendale, CA
- Alyssa Rene Stance
- Standard Home Care, Inc.
- Standard Hospice, Inc.
- Standup Therapy, Inc.
- Brian Stanford, M.D.
- Stanton H. Joe, M.D., a Professional Corporation
- Stanton H. Joe, M.D., a Professional Corporation (Southern California Radiology Medical Group, a Prof. Corp.)
- Abigail M Stanton, MD
- Star Med LLC
- Star Urology Incorporated
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.