Roberto Omar Rivera Jr., DC

Chiropractor · Costa Mesa, CA

Individual Active NPI

NPI number 1073376224

Practice location

640 Terminal Way
Costa Mesa, CA 92627-3616
Phone
(718) 702-9450

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NPI record

NPI
1073376224
Entity type
Individual (Type 1)
Enumeration date
January 31, 2024
Last updated
May 25, 2026
Certified
May 25, 2026
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Chiropractor Primary 111N00000X DC36862 CA

Mailing address

76 Promenade
Irvine, CA 92612-1708
Phone
(718) 702-9450

About Dr. Rivera

Roberto Omar Rivera Jr., DC is a healthcare provider registered in the NPI registry with the primary taxonomy Chiropractor (code 111N00000X). The practice location is 640 Terminal Way, Costa Mesa, CA 92627-3616. The NPI number 1073376224 was assigned on January 31, 2024 and the record was last updated on May 25, 2026.

Dr. Rivera lists a license in the registry: #DC36862 (CA) for Chiropractor. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Roberto Omar Rivera Jr., DC?

The NPI number is 1073376224.

What is the phone number of Dr. Rivera?

The phone number listed for the practice location is (718) 702-9450.

Where is Dr. Rivera located?

640 Terminal Way, Costa Mesa, CA 92627-3616.

What is the taxonomy code for Dr. Rivera?

The primary taxonomy code is 111N00000X – Chiropractor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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