| Dr Mark Jefferson Rivera, MD | |
|
9735 Wilshire Blvd, Beverly Hills, CA 90212-2107 | |
| (661) 251-6300 | |
| (661) 443-8424 |
| Full Name | Dr Mark Jefferson Rivera |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 9735 Wilshire Blvd, Beverly Hills, California |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780045682 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2086S0122X | Surgery - Plastic And Reconstructive Surgery | A157872 (California) | Secondary |
| 207Q00000X | Family Medicine | A157872 (California) | Primary |
| Entity Name | Ajay G Meka Md Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932214657 PECOS PAC ID: 0244129963 Enrollment ID: O20040311001043 |
| Entity Name | Omni Family Health |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1700891660 PECOS PAC ID: 9234176363 Enrollment ID: O20050411000986 |
| Entity Name | Sc Medical, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1992078000 PECOS PAC ID: 6305001439 Enrollment ID: O20120622000394 |
| Entity Name | Erick Madrigal Md Mba Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1609124692 PECOS PAC ID: 9436395324 Enrollment ID: O20130419000312 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Mark Jefferson Rivera, MD 269 S Beverly Dr, Beverly Hills, CA 90212-3851 Ph: (323) 685-8130 | Dr Mark Jefferson Rivera, MD 9735 Wilshire Blvd, Beverly Hills, CA 90212-2107 Ph: (661) 251-6300 |
Christina Vu Pham, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 9725 Wilshire Blvd, Beverly Hills, CA 90212 Phone: 323-305-7150 Fax: 415-252-7176 | |
Dr. Alexander Hu, D,O, Family Medicine Medicare: Medicare Enrolled Practice Location: 8767 Wilshire Blvd Fl 2, Beverly Hills, CA 90211 Phone: 310-248-7000 | |
Dr. Stacy Tamara Tarradath, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 8501 Wilshire Blvd Ste 150, Beverly Hills, CA 90211 Phone: 310-248-7000 Fax: 310-248-7033 | |
Ethan Ryan Payton, MD Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 8820 Wilshire Blvd Ste 110, Beverly Hills, CA 90211 Phone: 424-315-0776 | |
Brett Garvey, PA-C Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210 Phone: 888-803-3370 Fax: 888-803-3331 | |
Mr. Kehinde Elemuren, NP Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 415 N Crescent Dr Ste 320, Beverly Hills, CA 90210 Phone: 888-803-3370 | |
Dr. Marvin Berkowitz, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 614 N Roxbury Dr., Beverly Hills, CA 90210 Phone: 310-276-8211 |