Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JERRY RIVAS
DeactivatedJERRY RIVAS is a Student (Health Education/Training) healthcare provider located in RICHMOND, California. NPI 1205490620 is deactivated in the NPPES registry. Verify at CMS.
Student (Health Education/Training) · RICHMOND, CA
This NPI has been deactivated.
The record was deactivated on July 12, 2023.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1205490620
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- May 1, 2019 (4.1967213114754 yrs)
- Last Updated
- Aug 8, 2023
- Deactivated
- Jul 12, 2023
Practice Information
- Address
-
205 39TH STRICHMOND, CA, 948052212Browse CA providers · Browse ZIP 94805
- Phone
- 5104125930
- Primary Specialty
-
Student (Health Education/Training)
390200000X
Other Student (Health Education/Training) Providers in RICHMOND, CA
| Name | Credential | NPI |
|---|---|---|
| EMA CARMEN DAVILA | PSYD | 1972701068 |
| GIA MIRELLA DINICOLA | — | 1598929002 |
| ANDREA MOORE WILLIAMS | — | 1144468406 |
| MARIA ANGELICA GUERRERO | — | 1720301898 |
| MS. MOLLY HILL MCCOBB | — | 1215212907 |
| MS. RUTH ANN HORTON | — | 1275883761 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.