HENRY RIVERA DC
NPI 1205433661
Chiropractor in Los Angeles, CA

Active since October 07, 2020
11075 SANTA MONICA BLVD STE 175, LOS ANGELES, CA 90025(310) 427-7374 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Henry Rivera Dc NPPES

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

HENRY RIVERA DC (NPI 1205433661) is an individual chiropractor in Los Angeles, California, licensed in California (34901) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1205433661
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameHENRY RIVERACredential: DC
Location Address11075 SANTA MONICA BLVD STE 175Los Angeles, CA 90025-7567
Mailing Address11075 Santa Monica Blvd Ste 175Los Angeles, CA 90025-7567 · (310) 427-7374
Sole ProprietorNo
Enumeration DateOctober 7, 2020
NPPES CertifiedOctober 7, 2020
✔ NPI 1205433661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · 34901
Definition
A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
11075 SANTA MONICA BLVD STE 175, Los Angeles, CA 90025

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Henry Rivera Dc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Henry Rivera reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Federally Qualified Health Center (FQHC)
5715 S BROADWAY
Los Angeles, CA 90037
  • Reassigned Medicare billing, California enrollment
  • 91 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES

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

Physical Medicine & Rehabilitation
11075 SANTA MONICA BLVD STE 175
LOS ANGELES, CA 90025

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 Henry Rivera's NPI number?

The NPI number for Henry Rivera is 1205433661. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Henry Rivera located?

Henry Rivera practices at 11075 Santa Monica Blvd Ste 175, Los Angeles, CA 90025. The listed phone number is (310) 427-7374.

What is Henry Rivera's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Is Henry Rivera enrolled in Medicare?

Yes. Henry Rivera is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Henry Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Henry Rivera reassigns Medicare benefits to Central City Community Health Center Inc (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Henry Rivera's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Henry Rivera was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years 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.