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

Xavier Rivera Rivera

Individual provider Anatomic Pathology & Clinical Pathology Physician · NPI 1205396678

Xavier Rivera Rivera is a Pathology in Riverside, California. Qualified in 2018, 8 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2019
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Practice location Address checks out

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (787) 590-9891
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 28078 Baxter Rd., Murrieta, CA 92563 — (909) 641-3611

Specialties & licences

Anatomic Pathology & Clinical Pathology Physician (primary) Taxonomy 207ZP0102X · Licence A181232 (CA)

Record details

NPI number1205396678
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMarch 22, 2019
Last updated in NPPESJune 30, 2025
Certification dateJune 30, 2025
Mailing address10800 Magnolia Ave, Riverside, CA 92505-3043

Medicare enrollment

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

Medicare specialtyPATHOLOGY
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Riverside