Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1023425352 Individual Practitioner Female Practitioner

Judith Rivera , NP

Nurse Practitioner • Costa Mesa, CA

Professional Overview & Biography Verified Profile Summary

Judith Rivera, NP is a registered healthcare professional specializing in Nurse Practitioner in Costa Mesa, CA. Practice services are available at 600 ANTON BLVD FL 11 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

600 Anton Blvd Fl 11

Costa Mesa, CA 926267100

Telephone 6233747774
Fax 8554206361
Associated Practice Facility / Clinic
🏢 Md24, Inc. Facility NPI 1144463290

Specialty Benchmarks & Practice Insights

Comparative analytics for Nurse Practitioner in Costa Mesa, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 12.6 Yrs
State Avg: 11.7 Yrs
Regional Practice Density
22 Specialists

Practicing in Costa Mesa, CA (8378 Statewide)

Telehealth Adoption Rate
4.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Nurse Practitioner Primary Specialty

NUCC Taxonomy Code: 363L00000X

State License CA 8793

(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.

Nurse Practitioner - Family

NUCC Taxonomy Code: 363LF0000X

State License CA 8793

Definition to come...

Secondary Practice Locations

2810 Camino Del Rio S, Suite 102

San Diego, CA 921083818

Phone: 6192991419

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elizabeth Williams , PA-C

Physician Assistant

NPI 1003974189

Physician Assistant (Certified)

Dr. James Leroy , PhD

Psychologist - Clinical

NPI 1013985639

Doctor of Philosophy (Ph.D.)

Janice Love , LCSW

Social Worker - Clinical

NPI 1053798009

Licensed Clinical Social Worker

Dr. Alicja Stewart , PhD

Psychologist - Counseling

NPI 1063808558

Doctor of Philosophy (Ph.D.)

Lorie Weber , PA-C

Physician Assistant

NPI 1093183808

Physician Assistant (Certified)

Shawn Thomson

Nurse Practitioner - Family

NPI 1104223692

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

9 Historical Events
📍
Updated Practice Location August 23, 2018

Registered at 600 ANTON BLVD FL 11, COSTA MESA, CA 926267100 (Tel: 6233747774)

📍
Updated Business Mailing Address August 23, 2018

Registered at 14780 W MOUNTAIN VIEW BLVD STE 110, SURPRISE, AZ 853747280 (Tel: 6233747774)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 23, 2018

Nurse Practitioner (License #8793 in CA)

NPI Profile Active December 18, 2014

NPI status registered as active in NPPES database

📍
Updated Practice Location December 18, 2014

Registered at 2810 CAMINO DEL RIO S, SUITE 102, SAN DIEGO, CA 921083818 (Tel: 6192991419)

📍
Updated Business Mailing Address December 18, 2014

Registered at 2810 CAMINO DEL RIO S, SUITE 102, SAN DIEGO, CA 921083818 (Tel: 6192991419)

👤
Provider Name / Credentials Updated December 18, 2014

Recorded as JUDITH RIVERA, NP

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) December 18, 2014

Nurse Practitioner (License #8793 in CA)

🟢
Initial NPI Registration & Enumeration July 18, 2014

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023425352
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: July 18, 2014
Last Update: August 23, 2018
Sole Proprietor: Yes

Mailing Address

14780 W Mountain View Blvd Ste 110

Surprise, AZ 853747280

Phone: 6233747774

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.