Active NPI
Olga G Rivero
- Private Vehicle
- Palmdale, CA
National Provider Identifier
1952091852
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Private Vehicle
- License
- 11619354
- Practice address
- 2737 Chantel LN
Palmdale, CA 93551-1596 - Phone
- (661) 839-6674
- NPI assigned
- May 12, 2023
- Last updated
- May 17, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Driver | 172A00000X | 11619354 | CA | |
| Transportation Network Company | 342000000X | 11619354 | CA | |
| Non-emergency Medical Transport (VAN) | 343900000X | 11619354 | CA | |
| Private Vehicle | 347C00000X | 11619354 | CA | Primary |
Addresses
Primary practice location
2737 Chantel LN
Palmdale, CA 93551-1596
Mailing address
43824 20TH St W Unit 8206
Lancaster, CA 93539-7686
Phone (661) 839-6674
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 |
|---|---|---|---|
| 11619354 | CA | MD | Transportation Network Company |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1683849600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684281600000",
"number": "1952091852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "43824 20TH ST W UNIT 8206",
"city": "LANCASTER",
"state": "CA",
"postal_code": "935397686",
"telephone_number": "661-839-6674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2737 CHANTEL LN",
"city": "PALMDALE",
"state": "CA",
"postal_code": "935511596",
"telephone_number": "661-839-6674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERO",
"first_name": "OLGA",
"middle_name": "G",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-05-12",
"last_updated": "2023-05-17",
"certification_date": "2023-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "172A00000X",
"taxonomy_group": "",
"desc": "Driver",
"state": "CA",
"license": "11619354",
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": "CA",
"license": "11619354",
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": "CA",
"license": "11619354",
"primary": false
},
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "CA",
"license": "11619354",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palmdale, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.