Healthcare Provider Details

I. General information

NPI: 1558231209
Provider Name (Legal Business Name): JOE ROY RIVERA DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2025
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10330 PIONEER BLVD STE 180
SANTA FE SPRINGS CA
90670-8226
US

IV. Provider business mailing address

10455 NAVA ST
BELLFLOWER CA
90706-4132
US

V. Phone/Fax

Practice location:
  • Phone: 562-347-2200
  • Fax:
Mailing address:
  • Phone: 626-410-5401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NI0013X
TaxonomyIndependent Medical Examiner Chiropractor
License NumberDC37475
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: