Individual provider Active NPI

Christian Ivan Rivero, ACSW

  • Social Worker
  • Santa Ana, CA
National Provider Identifier
1992469183
Registry record updated Apr 24, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
ASW108500 Issued in CA
Practice address
401 W Civic Center Dr
Santa Ana, CA 92701-4515
Phone
(714) 480-4621
Fax
(714) 834-4586
NPI assigned
Oct 25, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X ASW108500 CA Primary

Addresses

Primary practice location

401 W Civic Center Dr
Santa Ana, CA 92701-4515

Mailing address

340 Abery Ave
La Puente, CA 91744-6101
Phone (323) 547-6557

Other practice location 1

14659 Olive View Dr
Sylmar, CA 91342-1652
Phone (818) 485-0888

Other practice location 2

520 S La Fayette Park Pl Fl 3
Los Angeles, CA 90057-1607
Phone (213) 252-2100

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
ASW108500CAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1635120000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1992469183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 ABERY AVE",
            "city": "LA PUENTE",
            "state": "CA",
            "postal_code": "917446101",
            "telephone_number": "323-547-6557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 W CIVIC CENTER DR",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927014515",
            "telephone_number": "714-480-4621",
            "fax_number": "714-834-4586"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14659 Olive View Dr",
            "address_purpose": "LOCATION",
            "city": "Sylmar",
            "state": "CA",
            "postal_code": "913421652",
            "country_code": "US",
            "telephone_number": "818-485-0888",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "520 S La Fayette Park Pl Fl 3",
            "address_purpose": "LOCATION",
            "city": "Los Angeles",
            "state": "CA",
            "postal_code": "900571607",
            "country_code": "US",
            "telephone_number": "213-252-2100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVERO",
        "first_name": "CHRISTIAN",
        "middle_name": "IVAN",
        "name_prefix": "Mr.",
        "credential": "ACSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-25",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "CA",
            "license": "ASW108500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Ana, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 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.

Verify at the official NPI Registry.