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General NPI Number Information
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NPI Number | 1629464474
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Entity Type | Individual
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Provider Name | ANDREW ROBERT RIVERA MD
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Gender | Male
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Dates
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Enumeration Date | 04/08/2015
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 6001 NORRIS CANYON RD
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City | SAN RAMON
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State | CA
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Zip | 94583-5400
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Country | US
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Telephone | 925-275-9200
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Fax |
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Provider Business Mailing Address
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Address Line | 500 JEFFERSON AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94063-1791
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Country | US
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Telephone | 480-532-7294
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 60956782
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 180547
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License Number State | CA
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