Active NPI
Reuben Kamiya Rivera, OD MS FAAO
- Optometrist
- Oakland, CA
National Provider Identifier
1952346967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Optometrist
- License
- 8313T
- Practice address
- 5802 College Ave
Oakland, CA 94618-1603 - Phone
- (510) 653-4242
- Fax
- (510) 653-4275
- NPI assigned
- Jun 17, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Optometrist | 152W00000X | 8313T | CA | Primary |
| Corneal and Contact Management Optometrist | 152WC0802X | 8313T | CA | |
| Sports Vision Optometrist | 152WS0006X | 8313T | CA |
Addresses
Primary practice location
5802 College Ave
Oakland, CA 94618-1603
Mailing address
5802 College Ave
Oakland, CA 94618-1603
Phone (510) 653-4242
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8313T | CA | MD | Optometrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Susan Ting Lin | Optometrist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1398038400000",
"number": "1952346967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5802 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181603",
"telephone_number": "510-653-4242",
"fax_number": "510-653-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5802 COLLEGE AVE",
"city": "OAKLAND",
"state": "CA",
"postal_code": "946181603",
"telephone_number": "510-653-4242",
"fax_number": "510-653-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "REUBEN",
"middle_name": "KAMIYA",
"name_prefix": "Dr.",
"credential": "OD MS FAAO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-17",
"last_updated": "2014-04-21",
"status": "A"
},
"taxonomies": [
{
"code": "152W00000X",
"taxonomy_group": "",
"desc": "Optometrist",
"state": "CA",
"license": "8313T",
"primary": true
},
{
"code": "152WC0802X",
"taxonomy_group": "",
"desc": "Optometrist, Corneal and Contact Management",
"state": "CA",
"license": "8313T",
"primary": false
},
{
"code": "152WS0006X",
"taxonomy_group": "",
"desc": "Optometrist, Sports Vision",
"state": "CA",
"license": "8313T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Oakland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 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.