FATIMA RIVERA
NPI 1386033512
Assisted Living Facility in Costa Mesa, CA

Active since January 12, 2015
1825 SAMAR DR, COSTA MESA, CA 92626(714) 429-1658(714) 979-9982 Get Directions Write a Review

NPPES record last updated: January 12, 2015. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Fatima Rivera NPPES

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

FATIMA RIVERA (NPI 1386033512) is an individual assisted living facility provider in Costa Mesa, California, licensed in California (306000126) and active in the NPI registry since January 2015.

NPPES Registry Identity

NPI1386033512
Entity TypeIndividualFemale
Primary Taxonomy310400000X
Provider Legal NameFATIMA RIVERA
Location Address1825 SAMAR DRCosta Mesa, CA 92626-3631
Mailing Address1825 Samar DrCosta Mesa, CA 92626-3631 · (714) 429-1658 · Fax (714) 979-9982
Fax(714) 979-9982
Sole ProprietorYes
Enumeration DateJanuary 12, 2015
NPI 1386033512 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in CA · 306000126
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1825 SAMAR DR, Costa Mesa, CA 92626

Other Identifiers 1

Other306000126CA · Medi-cal

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1386033512, enumerated as an "individual" on January 12, 2015.

The provider is located at 1825 SAMAR DR COSTA MESA, CA 92626 and the phone number is (714) 429-1658.

Assisted Living Facility with taxonomy code 310400000X.

The provider might be accepting Accepts: California Medicaid, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.