DR. JUSTIN JOSE RIVERA (NPI# 1073960522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073960522 |
| Entity Type | Individual |
| Full Name | DR. JUSTIN JOSE RIVERA |
| Credential | DPM |
| Practice Address |
104 Margaret Ln Ste A Grass Valley CA 95945-5261 |
| Practice Telephone | 5306481234 |
| Practice Fax Number | 5306481235 |
| Mailing Telephone | 5306481234 |
| Mailing Fax Number | 5306481235 |
| Enumeration Date | 2016-05-14 |
| Last Update Date | 2019-11-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
E5546 | CA | Podiatric Medicine & Surgery Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 500 Gypsy Ln, Youngstown, OH 445041315 | 3308843068 | 3308845730 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902404262 | Justin Ricky Rivera | Student in an Organized Health Care Education/Training Program | 6740 Nw 38th Dr, Lauderhill, FL 33319-7305 | 2020-10-09 |
| 1346884806 | Justin Guy Rivera | Family Medicine | 1311 S Anaheim Blvd, Anaheim, CA 92805-6202 | 2019-10-29 |
| Street Address |
104 MARGARET LN STE A |
| City | GRASS VALLEY |
| State | CA |
| Zip Code | 95945-5261 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861692584 | Hanger Prosthetics & Orthotics West, Inc. | Durable Medical Equipment & Medical Supplies | 104 Margaret Ln Ste A, Grass Valley, CA 95945-5261 | 2007-07-20 |
| 1093374464 | Valley Foot & Ankle Specialists | Podiatrist | 104 Margaret Ln Ste A, Grass Valley, CA 95945-5261 | 2019-06-10 |
| 1760845473 | Nathan Brian Payne | Podiatrist | 104 Margaret Ln Ste A, Grass Valley, CA 95945-5261 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568028595 | Rae Meyer Bastoni | Chiropractor | 124 Clydesdale Ct, Ste. K, Grass Valley, CA 95945 | 2019-05-15 |
| 1255815221 | Victoria M Goddard | Counselor | 900 East Main St Suite 201, Grass Valley, CA 95945 | 2018-09-17 |
| 1912488503 | Janell Dawn Jones | Pharmacist | 10106 East Dr, Grass Valley, CA 95945 | 2018-08-22 |
| 1184114779 | Evan Ariel Walters | Physical Therapist | 104 Magaret Lane, Grass Valley, CA 95945 | 2018-05-18 |
| 1295199420 | Allyssa Fennelly Skowyra | Chiropractor | 155 Spring Hill Dr Ste 201, Grass Valley, CA 95945 | 2016-04-13 |
| 1326417627 | Nevada County Crisis Stabilization Unit | Clinic/Center | 145 Glasson Way, Grass Valley, CA 95945 | 2015-09-17 |
| 1942607957 | California Mental Health | Counselor | 120 N. Auburn Street, Ste 212, Grass Valley, CA 95945 | 2014-11-20 |
| 1740611615 | Jarrett M Weiss | Residential Treatment Facility, Emotionally Disturbed Children | 714 W. Main Street, Grass Valley, CA 95945 | 2013-12-03 |
| 1669802732 | Nicole Marie Sullivan | Residential Treatment Facility, Emotionally Disturbed Children | 714 W Main Street, Grass Valley, CA 95945 | 2013-11-26 |
| 1316377369 | Michelene Arielle-nicole Stringer | Residential Treatment Facility, Emotionally Disturbed Children | 714 West Main Street, Grass Valley, CA 95945 | 2013-11-12 |
| Find all providers in zip 95945 | ||||
| Taxonomy Code | 213ES0103X |
| Grouping | Podiatric Medicine & Surgery Service Providers |
| Classification | Podiatrist |
| Specialization | Foot & Ankle Surgery |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194387290 | Northern California Orthopaedic Associates Corp | Podiatrist | 1061 E Main St Ste 201, Grass Valley, CA 95945-5724 | 2019-06-28 |
| 1023350428 | Jeremy Lee Cook | Podiatrist | 123 Margaret Ln Ste A1, Grass Valley, CA 95945-5268 | 2013-03-23 |
| 1093374464 | Valley Foot & Ankle Specialists | Podiatrist | 104 Margaret Ln Ste A, Grass Valley, CA 95945-5261 | 2019-06-10 |
| 1427616796 | Foot and Ankle Surgeons of Northern California | Podiatrist | 150 Catherine Ln Ste B, Grass Valley, CA 95945-5719 | 2019-06-03 |
| 1447601802 | Marc Timothy Claydon | Podiatrist | 150 Catherine Ln Ste B, Grass Valley, CA 95945-5719 | 2016-06-28 |
| 1760845473 | Nathan Brian Payne | Podiatrist | 104 Margaret Ln Ste A, Grass Valley, CA 95945-5261 | 2016-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114528726 | Millennium Foot and Ankle Institute PC | Podiatrist | 26235 Ravenhill Rd, Santa Clarita, CA 91387-4046 | 2020-11-02 |
| 1861008054 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 5471 La Palma Ave Ste 106, La Palma, CA 90623-1792 | 2020-09-22 |
| 1174139356 | Ronald J Belczyk, Dpm Inc. | Podiatrist | 4911 Van Nuys Blvd Ste 100, Sherman Oaks, CA 91403-1746 | 2020-09-22 |
| 1093327231 | Upperline Healthcare California PC | Podiatrist | 2131 San Joaquin Hills Rd, Newport Beach, CA 92660-6507 | 2020-08-19 |
| 1841815545 | Kenny Au Quach | Podiatrist | 17100 Euclid St # 4004, Fountain Valley, CA 92708-4004 | 2020-06-09 |
| 1417579129 | Central California Leg, Foot, and Ankle Center, Inc. | Podiatrist | 11325 Park Square Dr Apt D204, Bakersfield, CA 93311-8854 | 2020-05-15 |
| 1487282109 | Laura Y Lee, Dpm Inc | Podiatrist | 5525 Forestwood Dr, Sacramento, CA 95842-2128 | 2020-03-29 |
| 1780211458 | Dupontdpm Inc. | Podiatrist | 651 1st St W Ste C, Sonoma, CA 95476-7046 | 2020-03-24 |
| 1659903722 | Bay Area Foot Care, Inc | Podiatrist | 5924 Stoneridge Dr Ste 102, Pleasanton, CA 94588-2750 | 2020-02-06 |
| 1780215210 | Albert Elhiani Dpm Inc | Podiatrist | 9340 W Pico Blvd Ste 2, Los Angeles, CA 90035-1255 | 2020-02-03 |
| Find all providers with the same taxonomy | ||||
| City | GRASS VALLEY |
| Zip Code | 95945 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.