Active NPI
Anthony Rivera
- Social Worker
- Rancho Cucamonga, CA
National Provider Identifier
1871905547
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 064769-1
- Practice address
- 8655 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-4891 - Phone
- (800) 642-5031
- NPI assigned
- May 28, 2014
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 064769-1 | NY | Primary |
Addresses
Primary practice location
8655 Haven Ave Ste 200
Rancho Cucamonga, CA 91730-4891
Mailing address
1840 S Beverly Glen Blvd Apt 305
Los Angeles, CA 90025-6928
Phone (424) 777-0286
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 064769-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1401235200000",
"number": "1871905547",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1840 S BEVERLY GLEN BLVD APT 305",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900256928",
"telephone_number": "424-777-0286"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8655 HAVEN AVE STE 200",
"city": "RANCHO CUCAMONGA",
"state": "CA",
"postal_code": "917304891",
"telephone_number": "800-642-5031"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "ANTHONY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-28",
"last_updated": "2014-05-28",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "064769-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rancho Cucamonga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.