Grace C Rivera in Antioch - General Practice

Grace C Rivera - NPI 1528266160

Grace C Rivera is a General Practice in Antioch, California. Grace C Rivera practices all healthcare services and medical treatments related to General Practice. The NPI Number for Grace C Rivera is 1528266160. The last update date is 2007-07-08.

Grace C Rivera's current location address is 2508 Johns Way, Antioch, California. You can contact this provider via phone number 9257554040 and fax number 9257554041. The mailing address for Grace C Rivera is 2508 Johns Way, Antioch, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Grace C Rivera
Address 2508 Johns Way, Antioch, California
Phone Number 9257554040
Fax Number 9257554041
Sole Proprietor Y
Credentials D.D.S

NPI Number Detail

NPI Number 1528266160
Provider Enumeration Date 2007-07-05
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2508 Johns Way
City Antioch
State California (CA)
Post Code 945318368
Phone Number 9257554040
Fax Number 9257554041

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 48364
Definition:
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B48364-01 CA HEALTHY FAMILIES
1332285 CA UNITED CONCORDIA
G93378-01 CA DENTICAL

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FAQs about Grace C Rivera

What is the unique 10-digit identification code issued to Grace C Rivera by the Centers for Medicare & Medicaid Services?

The Grace C Rivera has been assigned the NPI (National Provider Identifier) 1528266160 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Could you please share the complete physical address where Grace C Rivera is geographically located?

The Grace C Rivera is physically situated at the following location: 2508 Johns Way, Antioch, CA, 945318368.

What is Grace C Rivera's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Grace C Rivera is General Practice, and the corresponding taxonomy classification code for this specialized field is 1223G0001X.

On what date did the Grace C Rivera receive its 1528266160 assignment from the Centers for Medicare & Medicaid Services?

The Grace C Rivera was assigned its 1528266160 by the Centers for Medicare & Medicaid Services on 2007-07-05.

When was the information regarding Grace C Rivera, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Grace C Rivera, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.

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