Active NPI
Marcelo R Rivera, M.D.
- Specialist
- Poway, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- G39240
- Practice address
- 15644 Pomerado Rd
#300
Poway, CA 92064-2400 - Phone
- (858) 613-8743
- Fax
- (858) 613-9274
- NPI assigned
- Aug 31, 2006
- Last updated
- Jun 7, 2023
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | G39240 | CA | Primary |
Addresses
Primary practice location
15644 Pomerado Rd
#300
Poway, CA 92064-2400
Mailing address
15644 Pomerado Rd
#300
Poway, CA 92064-2400
Phone (858) 613-8743
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Rush Medical College of Rush University, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15644 Pomerado Rd
Suite 100
Poway, CA 92064-2419
15644 Pomerado Rd
Suite 300
Poway, CA 92064-2418
Phone (858) 613-8743
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Galen Inpatient Physicians PC | Current | Accepting new patients | |
| Ficaremed PC | Current | Accepting new patients | |
| Ficaremed Psychological Services Inc | Current | Accepting new patients | |
| Galen Inpatient Physicians, PC | Current | Accepting new patients | |
| Marcelo R. Rivera, MD, Inc. | Specialist | Current | Accepting new patients |
| Galen Inpatient Physicians Inc | Internal Medicine | Current | Accepting new patients |
| Primary Care Center of North County, Apc | Current | Accepting new patients | |
| Palomar Health | Past | Accepting new patients |
Locations
1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071
115 Mall Dr
Hanford, CA 93230
Phone (559) 537-0550
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
13525 Midland Rd
Ste F
Poway, CA 92064
Phone (858) 335-4012
15644 Pomerado Rd
Ste 100
Poway, CA 92064
Phone (858) 485-5111
15644 Pomerado Rd
Ste 300
Poway, CA 92064
Phone (760) 739-7666
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 9
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Ramona, CA
- NPI 1114105780
-
- Family Medicine Physician
- Poway, CA
- NPI 1336827211
-
- Hospitalist Physician
- Manteca, CA
- NPI 1689320459
-
- Primary Care Clinic/Center
- Poway, CA
- NPI 1992096630
-
- Psychologist
- Poway, CA
- NPI 1356160006
-
- Hospitalist Physician
- Los Angeles, CA
- NPI 1205787686
-
- Specialist
- Poway, CA
- NPI 1700277951
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Palomar Medical Center Poway
- General Acute Care Hospital
- Poway, CA
- NPI 1376513754
-
dba Palomar Medical Center Escondido
- General Acute Care Hospital
- Escondido, CA
- NPI 1457321317
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156982400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686096000000",
"number": "1942311311",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15644 POMERADO RD",
"address_2": "#300",
"city": "POWAY",
"state": "CA",
"postal_code": "920642400",
"telephone_number": "858-613-8743",
"fax_number": "858-613-9274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15644 POMERADO RD",
"address_2": "#300",
"city": "POWAY",
"state": "CA",
"postal_code": "920642400",
"telephone_number": "858-613-8743",
"fax_number": "858-613-9274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "MARCELO",
"middle_name": "R",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-31",
"last_updated": "2023-06-07",
"certification_date": "2023-06-07",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CA",
"license": "G39240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Poway, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.