CARLOS ANTONIO RIVERO D.M.D.
NPI 1942502596
Dentist in San Diego, CA
About Carlos Antonio Rivero D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CARLOS ANTONIO RIVERO D.M.D. (NPI 1942502596) is an individual dentist in San Diego, California, licensed in California (104466) and active in the NPI registry since December 2010. He is enrolled in Medicare PECOS and maintains a secondary practice location in Orlando.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Carlos Antonio Rivero D.m.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Carlos Rivero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92123
- Reassigned Medicare billing, California enrollment
- 20 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 92123 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Carlos Rivero's NPI number?
The NPI number for Carlos Rivero is 1942502596. It was assigned to this individual provider in the NPPES registry on December 1, 2010.
Where is Carlos Rivero located?
Carlos Rivero practices at 5625 Ruffin Rd Ste 200, San Diego, CA 92123. The listed phone number is (858) 569-9651.
What is Carlos Rivero's specialty?
The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.
Is Carlos Rivero enrolled in Medicare?
Yes. Carlos Rivero is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Carlos Rivero's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Rivero reassigns Medicare benefits to I Zak DDS Prof Dental Corp (San Diego, 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 Carlos Rivero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Carlos Rivero accept?
Health plans from BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 7 other insurers list Carlos Rivero as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Carlos Rivero was last updated on March 14, 2022. 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.
# Carlos Antonio Rivero, D.M.D. · NPI 1942502596
Dentist provider in San Diego, California. Individual provider, active in the CMS NPPES registry since December 1, 2010.
## Identity
- **NPI:** 1942502596 (Entity type: Individual)
- **Enumerated:** December 1, 2010
- **Primary specialty:** Dentist · taxonomy 122300000X
- **State license:** 104466 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 5625 RUFFIN RD STE 200, San Diego, CA 92123-6392
- **Phone:** (858) 569-9651
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health
- **Bills Medicare through:** I Zak DDS Prof Dental Corp (NPI 1922748755, San Diego, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** March 14, 2022
- **Other identifiers:** Medicaid 003965000 (FL)
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Source: [NPI Profile](https://npiprofile.com/npi/1942502596) · Data from the CMS NPPES public registry.