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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.

JUAN RIVERA
NPI 1275157901
Chiropractor in San Bernardino, CA

Active since May 28, 2020
1850 S WATERMAN AVE STE C, SAN BERNARDINO, CA 92408(909) 300-6479 Get Directions Write a Review

NPPES record last updated: October 31, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 31, 2026, May 28, 2020 (2 updates tracked since 2020).

About Juan Rivera NPPES

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

JUAN RIVERA (NPI 1275157901) is an individual chiropractor in San Bernardino, California, licensed in California (DC34682) and active in the NPI registry since May 2020. He maintains a secondary practice location in Yucca Valley and is a graduate of Other (2018).

NPPES Registry Identity

NPI1275157901
Entity TypeIndividualMale
Primary Taxonomy111N00000X
Provider Legal NameJUAN RIVERA
Location Address1850 S WATERMAN AVE STE CSan Bernardino, CA 92408-2852
Mailing Address55887 Yucca TrlYucca Valley, CA 92284-2546 · (760) 365-0804
Phone(909) 300-6479
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateMay 28, 2020
Last NPPES UpdateOctober 31, 20262 updates tracked since enumeration
NPPES CertifiedOctober 31, 2026
✔ NPI 1275157901 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers
Taxonomy Code111N00000X
License✔ Licensed in CA · DC34682
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.
1850 S WATERMAN AVE STE C, San Bernardino, CA 92408
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Secondary Practice Location 1

Location 155887 Yucca TrlYucca Valley, CA 92284-2546 · Phone (760) 365-0804

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

PECOS PAC ID6204392806
PECOS Enrollment IDI20260904003443

Medicare Billing Reassignment

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

Ortiz-Rivera Spine Care Doctors Chiropractic Corporation
Same address
Chiropractor
1850 S WATERMAN AVE STE C
San Bernardino, CA 92408
  • Reassigned Medicare billing, California enrollment
  • 2 clinicians in this Medicare group
NPI 1912845892 (424) 214-8068

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 3

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

INDUSTRIAL MUSCULOSKELETAL EVALUATIONS LLC
Chiropractor (Independent Medical Examiner)
1850 S WATERMAN AVE STE C
SAN BERNARDINO, CA 92408
San Bernardino County (909) 479-3699
RIVERA CHIROPRACTIC CORPORATION
Chiropractor
1850 S WATERMAN AVE STE C
SAN BERNARDINO, CA 92408
San Bernardino County (909) 712-5676
ORTIZ-RIVERA SPINE CARE DOCTORS CHIROPRACTIC CORPORATION
Chiropractor
1850 S WATERMAN AVE STE C
SAN BERNARDINO, CA 92408
San Bernardino County (424) 214-8068

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 Juan Rivera's NPI number?

The NPI number for Juan Rivera is 1275157901. It was assigned to this individual provider in the NPPES registry on May 28, 2020.

Where is Juan Rivera located?

Juan Rivera practices at 1850 S Waterman Ave Ste C, San Bernardino, CA 92408. The listed phone number is (909) 300-6479.

What is Juan Rivera's specialty?

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

Is Juan Rivera enrolled in Medicare?

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

Which organization bills Medicare for Juan Rivera's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Rivera reassigns Medicare benefits to Ortiz-Rivera Spine Care Doctors Chiropractic Corporation (San Bernardino, 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 Juan 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 Juan Rivera was last updated on October 31, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.