Dr. Justin Jose Rivera
Foot & Ankle Surgery
104 Margaret Ln Ste A
Grass Valley
, California 95945-5261
Dr. Justin Jose Rivera
Foot & Ankle Surgery
104 Margaret Ln Ste A
Grass Valley
, California 95945-5261
(530) 648-1235
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About
Features
Specialties
- Foot & Ankle Surgery
Languages spoken
- English
Location
First Address
- Dr. Justin Jose Rivera
- 104 Margaret Ln Ste A
- Grass Valley, CA
- Zip : 95945-5261
- Fax : (530) 648-1235
- Phone : (530) 648-1234
Second Address
- Dr. Justin Jose Rivera
- 104 Margaret Ln Ste A
- Grass Valley, CA
- Zip : 95945-5261
- Fax : (530) 648-1235
- Phone : (530) 648-1234
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 213ES0103X | Foot & Ankle Surgery | E5546 | CA |
National Provider Identifier
| NPI | 1073960522 |
|---|---|
| Provider Name | Dr. Justin Jose Rivera |
| First Address | Grass Valley, CA 95945-5261 |
| Second Address | Grass Valley, CA 95945-5261 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/05/2016 |
| Last Update Date | 26/11/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.