OBIANUJU RIVERA (FNP) – Psychiatric/Mental Health Nurse Practitioner, NPI 1003104167
Psychiatric/Mental Health Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
16,360 NURSE PRACTITIONER in CA
Provider Addresses for OBIANUJU RIVERA (FNP)
30195 Fraser Dr
Lake Elsinore, CA 925307006
Phone: (951) 252-2720
Type: Location
5151 W WOOLEY RD
OXNARD, CA 930351829
Phone:
Type: Mailing
200 S WELLS RD STE 100
VENTURA, CA 930041378
Phone: (805) 647-6322
Type: Location
3835 N FREEWAY BLVD STE 100
SACRAMENTO, CA 958341954
Phone: (916) 576-7900
Type: Mailing
3801 UNIVERSITY AVE STE 270
RIVERSIDE, CA 925013272
Phone: (855) 427-2778
Fax: (951) 530-3997
Type: Location
30195 FRASER DR
LAKE ELSINORE, CA 925307006
Phone: (951) 252-2720
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 14 Open Payments records for all available years, with a total value of $365.
Total Amount is formed as General ($365) + Research ($0) + Ownership ($0) = $365.
Last reported payment date: 2024-11-12 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($100).
Total Amount
$365
General + Research + Ownership
Payments
14
Total payment records
General Amount
$365
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-12
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2012-02-15
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20120215000289 | I | Nurse Practitioner | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92530)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| P S Y C H I A T R Y | NY | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| Nurse Practitioner | CA | |
| P S Y C H I A T R Y | CA | |
| Clinical Psychologist | CA | |
| P S Y C H I A T R Y | CA | |
| P S Y C H I A T R Y | SD | |
| P S Y C H I A T R Y | CA |
Reviews
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