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

Tamra Ann Dison de Rivas

Individual provider Rehabilitation Practitioner · NPI 1033452610

Tamra Ann Dison de Rivas is a Rehabilitation Practitioner in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2013.

Licensed in
CA
In the registry since
2013

Practice location Address checks out

1255 Kendall Rd
San Luis Obispo, CA 93401-8750
Phone: (805) 781-3535
Fax: (805) 503-6499
Show map & directions

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

Specialties & licences

Rehabilitation Practitioner (primary) Taxonomy 225400000X (CA)

Record details

NPI number1033452610
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 1, 2013
Last updated in NPPESSeptember 9, 2025
Certification dateSeptember 9, 2025

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