Active NPI
Rey David Rivera, OTR
- Occupational Therapist
- San Pablo, CA
National Provider Identifier
1952790842
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6673
- Practice address
- 13328 San Pablo Ave
San Pablo, CA 94806-3902 - Phone
- (510) 235-3720
- NPI assigned
- Jan 15, 2015
- Last updated
- Jan 15, 2015
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 6673 | CA | Primary |
Addresses
Primary practice location
13328 San Pablo Ave
San Pablo, CA 94806-3902
Mailing address
438 Orchard View Ave
Martinez, CA 94553-3552
Phone (707) 342-5200
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 |
|---|---|---|---|
| 6673 | CA | MD | Pharmacy Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1421280000000",
"number": "1952790842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "438 ORCHARD VIEW AVE",
"city": "MARTINEZ",
"state": "CA",
"postal_code": "945533552",
"telephone_number": "707-342-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13328 SAN PABLO AVE",
"city": "SAN PABLO",
"state": "CA",
"postal_code": "948063902",
"telephone_number": "510-235-3720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIVERA",
"first_name": "REY DAVID",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-01-15",
"last_updated": "2015-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "CA",
"license": "6673",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Pablo, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.