ADAM RIVADENEYRA (MD) – Sports Medicine (Family Medicine) Physician, NPI 1689935355

ADAM RIVADENEYRA (MD) is a healthcare provider. based in Orange, California. specializing in FAMILY PRACTICE, SPORTS MEDICINE. They hold the professional credentials MD. They hold a License No. A132857 (CA). The NPI Number for ADAM RIVADENEYRA (MD) is 1689935355

Main info

Male
14 Years Of Experience
Accepts Medicare Assignment
Name
ADAM RIVADENEYRA (MD)
NPI
1689935355
Phone
(714) 634-4567
Address
280 S MAIN ST STE 200
Enumeration Date
30 May 2012
Last Update Date
21 July 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7146344567
Graduation Year
2012 (14 years ago)
PAC ID
4284925579
Group Practice PAC ID
5395631931
Professional Enrollment ID
I20160616000647
Address ID
CA928683816OR363XXSTXX413
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:14State licenses:1Digital endpointsOther names

13,194 FAMILY PRACTICE in CA

Provider Addresses for ADAM RIVADENEYRA (MD)

  • 280 S MAIN ST STE 200

    ORANGE, CA 928683852

    Phone: (714) 634-4567

    Type: Location

  • 120 N Ashwood Ave

    Ventura, CA 930031810

    Phone: (805) 652-5800

    Fax: (805) 642-1928

    Type: Location

  • 258 E Harvard Blvd

    Santa Paula, CA 930603372

    Phone: (805) 525-5518

    Fax: (805) 525-9452

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 30 Open Payments records for all available years, with a total value of $14,593.

Total Amount is formed as General ($14,593) + Research ($0) + Ownership ($0) = $14,593.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($13,964).

Total Amount

$14,593

General + Research + Ownership

Payments

30

Total payment records

General Amount

$14,593

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

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: 2016-06-16

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
I20160616000647IFamily PracticeCATBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
J3304Injection, triamcinolone acetonide, preservative-free, extended-release, microsphere formulation, 1 mg10,400129$0
J7318Hyaluronan or derivative, durolane, for intra-articular injection, 1 mg9,60095$0
99213Established patient office or other outpatient visit, 20-29 minutes775484$0
99214Established patient office or other outpatient visit, 30-39 minutes712518$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg679133$0
View full utilization report →

Insurance plans in this area (ZIP 92868)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5395631931View full group profile
NameSpecialtyState
N E U R O S U R G E R YCA
Interventional Pain Management, AnesthesiologyCA
Physician AssistantCA
Physician AssistantCA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Orthopedic SurgeryCA
Hand SurgeryCA
Orthopedic SurgeryCA
-CA

Reviews

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Frequently asked questions

Does ADAM RIVADENEYRA (MD) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ADAM RIVADENEYRA (MD) uses 1689935355.
Does CMS list ADAM RIVADENEYRA (MD) as active?
Yes — ADAM RIVADENEYRA (MD) is active in the NPI listing used on this page.
What is ADAM RIVADENEYRA (MD)'s specialty?
The listing groups ADAM RIVADENEYRA (MD) with Sports Medicine (Family Medicine) Physician. Clinical services aligned with this taxonomy classification.
Does ADAM RIVADENEYRA (MD) list a practice location?
Patients near Orange, California may find ADAM RIVADENEYRA (MD) in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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