Individual provider Active NPI

Gilberto Rivas, LMFT

  • Marriage & Family Therapist
  • Fresno, CA
National Provider Identifier
1962536490
Registry record updated Mar 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
LMFT 50073 Issued in CA
Practice address
4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021
Phone
(559) 256-4474
NPI assigned
Mar 15, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 50073 CA
Marriage & Family Therapist 106H00000X LMFT 50073 CA Primary

Addresses

Primary practice location

4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021

Mailing address

4910 E Ashlan Ave Ste 118
Fresno, CA 93726-3021
Phone (559) 256-4474

Other practice location 1

819 S Bridge St
Visalia, CA 93277-2807
Phone (559) 967-4501

Other identifiers 1

IdentifierTypeStateIssuer
LMFT 50073OtherCABBS

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

LicenseStateTypeSpecialty
LMFT 50073CAMDMarriage & Family Therapist

NPI Registry JSON

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

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1585353600000",
    "number": "1962536490",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4910 E ASHLAN AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263021",
            "telephone_number": "559-256-4474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4910 E ASHLAN AVE STE 118",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937263021",
            "telephone_number": "559-256-4474"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "819 S Bridge St",
            "address_purpose": "LOCATION",
            "city": "Visalia",
            "state": "CA",
            "postal_code": "932772807",
            "country_code": "US",
            "telephone_number": "559-967-4501",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "GILBERTO",
        "credential": "LMFT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-15",
        "last_updated": "2020-03-28",
        "certification_date": "2020-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "50073",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "LMFT 50073",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BBS",
            "identifier": "LMFT 50073",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2020; 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.