Jonathan Rivas, MS, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

Practice address

6301 De Soto Ave Unit 104
Woodland Hills, CA 91367-2739

Phone

(818) 629-7401

NPI assigned

Oct 17, 2023

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

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

{
    "created_epoch": "1697500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720310400000",
    "number": "1922880772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6301 DE SOTO AVE UNIT 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6301 DE SOTO AVE UNIT 104",
            "city": "WOODLAND HILLS",
            "state": "CA",
            "postal_code": "913672739",
            "telephone_number": "818-629-7401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "JONATHAN",
        "credential": "MS, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-10-17",
        "last_updated": "2024-07-07",
        "certification_date": "2024-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Tatiana Rios
• Albert T Ripalda, RN
• Judy T Ripalda, RN
• Shannon Ripley
• Maya Riva, PHARMD
• Nery Orlando Rivas, D.C.
• Eugeni Ivelisse Rivera
• Matthew Rivera
• Noel Rivera Jr., RCP
• Yasmin Macario Rivera

• Athletic Trainer in Woodland Hills, CA
• Providers in Woodland Hills, CA by specialty
• Athletic Trainer in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 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.

Verify at the official NPI Registry.