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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

TONY RIVERA, ATC

Active Sole Proprietor

Sports Medicine (EM) · RIVERSIDE, CA

Registration Details

NPI Number
1508712043
Provider Type
Individual
Gender
Male
NPI Issued
Mar 6, 2026 (0.129185568677 yrs)
Last Updated
Mar 6, 2026
License
2000058675 (CA)
Sole Proprietor
Yes

Practice Information

Address
3169 JUANITA ST
RIVERSIDE, CA, 925044513
Browse CA providers · Browse ZIP 92504
Phone
9096411711
Primary Specialty
Sports Medicine (EM)
207PS0010X
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.