Charles Peter Rivera

Primary specialty

Community Health WorkerTaxonomy code 172V00000X

Practice address

1380 Howard St FL 5
San Francisco, CA 94103-2652

Phone

(415) 255-3421

NPI assigned

Nov 1, 2017

Last updated

Nov 1, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1509494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509494400000",
    "number": "1881106730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "SF DEPT. OF PUBLIC HEALTH BEHAVIORAL HEALTH SERVICES",
            "address_2": "1380 HOWARD STREET, 5TH FLOOR",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94103",
            "telephone_number": "415-255-3421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1380 HOWARD ST FL 5",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941032652",
            "telephone_number": "415-255-3421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "CHARLES",
        "middle_name": "PETER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-01",
        "last_updated": "2017-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDI-CAL SHORT DOYLE",
            "identifier": "172V00000X",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Abigail Rivera-Barnett
• Aaron Rivera
• Ana Vianca Rivera
• Annie Poy Rivera
• Benjamin Rivera
• Christina Elena Rivera, MPH
• Cynthia Rivera
• Desmond Rivera
• Gaspar Rivera, M.D.
• Herberth S Rivera, LMFT

• Community Health Worker in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Community Health Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2017; 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.