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

Jerry Rivas

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1205490620

Jerry Rivas is a Student in an Organized Health Care Education/Training Program in Richmond, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

205 39th St
Richmond, CA 94805-2212
Phone: (510) 412-5930
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Student in an Organized Health Care Education/Training Program (primary) Taxonomy 390200000X

Record details

NPI number1205490620
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 1, 2019
Last updated in NPPESAugust 8, 2023
Certification dateAugust 8, 2023
Mailing address3655 Midvale Ave Apt 4, Oakland, CA 94602-3863

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