Jorge Rivera III
Case Manager/Care Coordinator in Sacramento, CA. Individual provider (NPI-1).
NPI number1194436675
StatusActive
Last updated in NPPESDec 6, 2022
Details
- NPI
- 1194436675
- Entity type
- Individual (NPI-1)
- Name
- Jorge Rivera III
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Dec 6, 2022
- Certification date
- Dec 6, 2022
- Last updated
- Dec 6, 2022
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171M00000X | Case Manager/Care Coordinator | – | CA | Yes |
Practice location
2854 Paseo Rio Way Apt 29Sacramento, CA 95827-1357
Phone 909-913-1667
Mailing address
2854 Paseo Rio Way Apt 29Sacramento, CA 95827-1357
Phone 909-913-1667
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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