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NPI Code Detail

MEDICARE: ANGEL RIVAS

MEDICARE: ANGEL RIVAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225400000XRehabilitation PractitionerCA

General Provider Information

NPI Number : 1194677682
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGEL RIVAS
Provider Business Mailing Address
First Line : 3425 N 6TH ST
Second Line :
City : FRESNO
State : CA
Zip : 93726-5860
Country : US
Telephone Number : 559-907-0399
Fax Number : 559-907-0399
Provider Business Practice Location Address
First Line : 5610 W DONNER AVE
Second Line :
City : FRESNO
State : CA
Zip : 93722-3721
Country : US
Telephone Number : 559-271-2040
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/10/2026
Last Update Date : 02/18/2026

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Directions to “ ANGEL RIVAS ” Practice Location

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