MEDICARE: ADRIAN RIVERS

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
1	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1972219327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ADRIAN RIVERS

Provider Business Mailing Address
First Line	:	6933 LEWISTON WAY APT 8
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-2816
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6933 LEWISTON WAY APT 8
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95828-2816
Country	:	US
Telephone Number	:	916-868-5885
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/30/2023
Last Update Date	:	07/15/2025

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Directions to “ ADRIAN RIVERS ” Practice Location

Language	Start Address	Practice Location

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