Rivas, Ray Herman
Rivas, Ray Herman is an sole proprietor health care provider with primary practice located at 100 Casa St Ste D3 , San Luis Obispo CA 93405-5827. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Rivas, Ray Herman can be contacted via phone (805) 321-8471.Contact Information
Primary practice address
100 Casa St Ste D3
San Luis Obispo CA 93405-5827
Phone: (805) 321-8471
Fax: (805) 567-6604
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | A164066 | California |
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | A164066 | California |
Profile Details
| NPI number | 1003173816 |
|---|---|
| LBN Legal business name | Rivas, Ray Herman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 18th, 2012 |
| Last updated | Feb 3rd, 2026 - about 9 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1003173816 | NPPES |
| California | Other | A164066 | MEDICAL BOARD OF CALIFORNIA |
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