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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ELIZA RIVERA-MITU PMHNP-BC, FNP-C
NPI 1104167758
Nurse Practitioner - Primary Care in Fountain Valley, CA

Active since March 06, 2013PECOS EnrolledAccepts Medicare Assignment
11100 WARNER AVE STE 162, FOUNTAIN VALLEY, CA 92708(562) 786-6723(562) 786-6956 Get Directions Write a Review

NPPES record last updated: June 19, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eliza Rivera-mitu Pmhnp-bc, Fnp-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZA RIVERA-MITU PMHNP-BC, FNP-C (NPI 1104167758) is an individual primary care provider in Fountain Valley, California, licensed in California (23310) and active in the NPI registry since March 2013. She is enrolled in Medicare PECOS, maintains a secondary practice location in Torrance, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1104167758
Entity TypeIndividualFemale
Primary Taxonomy363LP2300X
Provider Legal NameELIZA RIVERA-MITUCredential: PMHNP-BC, FNP-C
Location Address11100 WARNER AVE STE 162Fountain Valley, CA 92708-7510
Mailing Address21515 Hawthorne Blvd Ste 200Torrance, CA 90503-6512 · (562) 786-6723 · Fax (562) 786-6956
Phone(562) 786-6723
Fax(562) 786-6956
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 6, 2013
Last NPPES UpdateJune 19, 2026
NPPES CertifiedJune 19, 2026
✔ NPI 1104167758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 6

★ Primary SpecialtyNurse Practitioner · Primary CarePhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LP2300X
License✔ Licensed in CA · 23310
Also ListedRegistered NurseTaxonomy 163W00000X · License 507599 (CA)
Also ListedHealth EducatorTaxonomy 174H00000X · License 507599 (CA)
Also ListedNurse Practitioner · Adult HealthTaxonomy 363LA2200X · License 23310 (CA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 23310 (CA)
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License 23310 (CA)
11100 WARNER AVE STE 162, Fountain Valley, CA 92708
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Secondary Practice Location 1

Location 121515 Hawthorne Blvd Ste 200Torrance, CA 90503-6512 · Phone (562) 786-6723 · Fax (562) 786-6956

Other Identifiers 2

Medicaid251KFFVQCA
Other23310CA · Board Of Registered Nursing License Number

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Eliza Rivera-mitu Pmhnp-bc, Fnp-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID840422424
PECOS Enrollment IDI20200417000822
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92708 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. BRIAN PAUL MITU F.N.P., P.A.-C
Nurse Practitioner (Primary Care)
11100 WARNER AVE STE 162
FOUNTAIN VALLEY, CA 92708
Orange County (562) 786-6723
ELIZA RIVERA MITU APRN FNP C A PROFESSIONAL NURSING CORPORATION
Nurse Practitioner (Primary Care)
11100 WARNER AVE STE 162
FOUNTAIN VALLEY, CA 92708
Orange County (562) 786-6723
DR. TRI NHA TRAN MD
Family Medicine
11100 WARNER AVE STE 162
FOUNTAIN VALLEY, CA 92708
Orange County (714) 432-1212

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Eliza Rivera-mitu's NPI number?

The NPI number for Eliza Rivera-mitu is 1104167758. It was assigned to this individual provider in the NPPES registry on March 6, 2013.

Where is Eliza Rivera-mitu located?

Eliza Rivera-mitu practices at 11100 Warner Ave Ste 162, Fountain Valley, CA 92708. The listed phone number is (562) 786-6723.

What is Eliza Rivera-mitu's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Primary Care, with taxonomy code 363LP2300X.

Is Eliza Rivera-mitu enrolled in Medicare?

Yes. Eliza Rivera-mitu is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Eliza Rivera-mitu was last updated on June 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 55 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.