FATIMA RIVERA NPI 1386033512

NPI Information

NPI: 1386033512
Provider Name: FATIMA RIVERA
Classification: Assisted Living Facility - 310400000X
Entity Type: Individual
Address:
1825 SAMAR DR
COSTA MESA, CA
ZIP 92626
Phone: (714) 429-1658
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Fatima Rivera is an assisted living facility in Costa Mesa, CA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. Fatima Rivera NPI is 1386033512. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1825 SAMAR DR
COSTA MESA, CA
ZIP 92626-631
Phone: (714) 429-1658
Fax: (714) 979-9982

The enumeration date for this NPI number is 1/12/2015 and was last updated on 1/12/2015.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	310400000X	Assisted Living Facility		306000126	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	306000126	OTHER	CALIFORNIA	MEDI-CAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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