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

Dr. Ray Herman Rivas, MD

Individual provider Surgery Physician · NPI 1003173816

Dr. Ray Herman Rivas, MD is a General Surgery in San Luis Obispo, California. Graduated from University of North Dakota School of Medicine in 2012, 14 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in California.

Years since qualifying
14
Trained at
University of North Dakota School of Medicine
Licensed in
CA
In the registry since
2012
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Practice location Address checks out

100 Casa St Ste D3
San Luis Obispo, CA 93405-5827
Phone: (805) 321-8471
Fax: (805) 567-6604
Show map & directions

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

Specialties & licences

Psychiatry Physician (primary) Taxonomy 2084P0800X · Licence A164066 (CA)
Surgery Physician Taxonomy 208600000X · Licence A164066 (CA)

Record details

NPI number1003173816
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 18, 2012
Last updated in NPPESFebruary 3, 2026
Certification dateFebruary 3, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyGENERAL SURGERY
Medical schoolUNIVERSITY OF NORTH DAKOTA SCHOOL OF MEDICINE
Graduated 2012 (14 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in San Luis Obispo