Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Carol Cisneros-Rivas, NURSEPRACTITIONER

Individual provider Nurse Practitioner · NPI 1093919276

Carol Cisneros-Rivas, NURSEPRACTITIONER is a Nurse Practitioner in Los Angeles, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
Specialties on file
2

Practice location Address checks out

1200 N State St Rm 10850 A
Los Angeles, CA 90033-1029
Phone: (323) 226-7655
Fax: (323) 229-5996
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X · Licence 301799 (CA)
Nurse Practitioner Taxonomy 363L00000X · Licence RN 301799 (CA)

Record details

NPI number1093919276
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedJune 12, 2007
Last updated in NPPESOctober 27, 2017

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