ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) – Psychiatric/Mental Health Nurse Practitioner, NPI 1104167758

ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) is a healthcare provider. based in Carson, California. specializing in NURSE PRACTITIONER. They hold the professional credentials PMHNP-BC, FNP-C. They hold a License No. 507599 (CA). The NPI Number for ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) is 1104167758

Main info

Female
Sole Proprietor
13 Years Of Experience
Accepts Medicare Assignment
Name
ELIZA RIVERA-MITU (PMHNP-BC, FNP-C)
NPI
1104167758
Phone
(310) 347-2686
Address
265 W SHADWELL ST
Enumeration Date
6 March 2013
Last Update Date
31 July 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5626618974
Graduation Year
2013 (13 years ago)
PAC ID
0840422424
Professional Enrollment ID
I20200417000822
Address ID
CA905013300TO2390XBLVD302
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:13State licenses:2Digital endpointsOther names

16,360 NURSE PRACTITIONER in CA

Provider Addresses for ELIZA RIVERA-MITU (PMHNP-BC, FNP-C)

  • 265 W SHADWELL ST

    CARSON, CA 907453723

    Phone: (310) 347-2686

    Fax: (866) 372-7824

    Type: Mailing

  • 2390 CRENSHAW BLVD STE E254

    TORRANCE, CA 905013300

    Phone: (562) 786-6723

    Fax: (562) 786-6956

    Type: Mailing

  • 2803 GRAMERCY AVE

    TORRANCE, CA 905015431

    Phone: (310) 347-2686

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 6 Open Payments records for all available years, with a total value of $589.

Total Amount is formed as General ($589) + Research ($0) + Ownership ($0) = $589.

Last reported payment date: 2024-09-24 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($250).

Total Amount

$589

General + Research + Ownership

Payments

6

Total payment records

General Amount

$589

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-09-24

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2020-04-17

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20200417000822INurse PractitionerCATBD

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.

Verify on CMS Revalidation Lookup Tool

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 90745)

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Reviews

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Frequently asked questions

Is there an official ID for ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) in U.S. healthcare records?
The official identifier for ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) is NPI 1104167758.
Is there an active status for ELIZA RIVERA-MITU (PMHNP-BC, FNP-C)?
For scheduling context, ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) is shown as active in the registry.
What area of care is associated with ELIZA RIVERA-MITU (PMHNP-BC, FNP-C)?
ELIZA RIVERA-MITU (PMHNP-BC, FNP-C)'s record emphasizes Psychiatric/Mental Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in California is ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) registered?
Use Carson, California as the headline location for ELIZA RIVERA-MITU (PMHNP-BC, FNP-C) here.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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