MR. SERGIO N RIVAS NURSE PRACTITIONER
NPI 1790168342
Nurse Practitioner - Family in Los Angeles, CA

Q: What is Sergio Rivas's NPI number?

The NPI number for Sergio Rivas is 1790168342. It was assigned to this individual provider in the NPPES registry on July 1, 2015.

Q: What is Sergio Rivas's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Q: When was this NPI record last updated?

The NPPES record for Sergio Rivas was last updated on July 1, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.

Active since July 01, 2015PECOS Enrolled

1983 MARENGO ST, LOS ANGELES, CA 90033(323) 409-4731 Get Directions Write a Review

NPPES record last updated: July 1, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mr. Sergio N Rivas Nurse Practitioner NPPES

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

MR. SERGIO N RIVAS NURSE PRACTITIONER (NPI 1790168342) is an individual family provider in Los Angeles, California, licensed in California (582066) and active in the NPI registry since July 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1790168342

Entity TypeIndividualMale

Primary Taxonomy363LF0000X

Provider Legal NameMR. SERGIO N RIVASCredential: NURSE PRACTITIONER

Location Address1983 MARENGO STLos Angeles, CA 90033-1370

Mailing AddressPo Box 15004Whittier, CA 90605-5004 · (562) 587-3635

Phone(323) 409-4731

Sole ProprietorNo

Enumeration DateJuly 1, 2015

✔ NPI 1790168342 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LF0000X

License✔ Licensed in CA · 582066

1983 MARENGO ST, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mr. Sergio N Rivas Nurse Practitioner is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 90033 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 20

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

MARIA ESTRADA

Registered Nurse (Gastroenterology)