SETH RIVERA M.D., PH.D.
NPI 1225050214
Internal Medicine - Pulmonary Disease in Los Angeles, CA

Active since July 25, 2006PECOS EnrolledAccepts Medicare Assignment
200 MEDICAL PLAZA, #365,530,420,120, LOS ANGELES, CA 90095(310) 794-9718 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Seth Rivera M.d., Ph.d. NPPES

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

SETH RIVERA M.D., PH.D. (NPI 1225050214) is an individual pulmonary disease provider in Los Angeles, California, licensed in California (A72432) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1225050214
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameSETH RIVERACredential: M.D., PH.D.
Location Address200 MEDICAL PLAZA, #365,530,420,120Los Angeles, CA 90095-0001
Mailing Address10833 Le Conte Ave, 37-131 ChsLos Angeles, CA 90095-1690 · (310) 825-8352 · Fax (310) 206-8622
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateJuly 25, 2006
Last NPPES UpdateDecember 13, 2021
✔ NPI 1225050214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in CA · A72432
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
200 MEDICAL PLAZA, Los Angeles, CA 90095

Other Identifiers 1

Other00A724320CA · Medical Ppin #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Seth Rivera M.d., Ph.d. 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 ID2365428059
PECOS Enrollment IDI20040624001195
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.

Medicare Billing Reassignment

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

Health Maintenance Organization
6041 CADILLAC AVE
Los Angeles, CA 90034
  • Reassigned Medicare billing, California enrollment
  • Also billed through NPI 1396287082 (California)
  • 13,921 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 90095 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
$142.39 typical visit price
range $62.96 – $187.60
Typical copayment $35.59 (range $15.74 – $46.90)
Most-billed visit code 99204
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 20

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

Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,420,120,530
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #214,365,530,420,120
LOS ANGELES, CA 90095
Plastic Surgery
200 MEDICAL PLAZA, #465
LOS ANGELES, CA 90095
Internal Medicine (Rheumatology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Otolaryngology
200 MEDICAL PLAZA, #550
LOS ANGELES, CA 90095
Internal Medicine (Nephrology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine (Allergy & Immunology)
200 MEDICAL PLAZA, #365,530,420,120
LOS ANGELES, CA 90095
Internal Medicine
200 MEDICAL PLAZA, #365
LOS ANGELES, CA 90095

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 Seth Rivera's NPI number?

The NPI number for Seth Rivera is 1225050214. It was assigned to this individual provider in the NPPES registry on July 25, 2006.

Where is Seth Rivera located?

Seth Rivera practices at 200 Medical Plaza #365,530,420,120, Los Angeles, CA 90095. The listed phone number is (310) 794-9718.

What is Seth Rivera's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Seth Rivera enrolled in Medicare?

Yes. Seth Rivera 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.

Which organization bills Medicare for Seth Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Seth Rivera reassigns Medicare benefits to Southern California Permanente Medical Group (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 Seth 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 Seth Rivera was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.