Provider Demographics
NPI:1902579931
Name:ORIBIO, RIZA TOLENTINO (NP)
Entity Type:Individual
Prefix:
First Name:RIZA
Middle Name:TOLENTINO
Last Name:ORIBIO
Suffix:
Gender:F
Credentials:NP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2744 VALLEY HEIGHTS DR
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95133-2046
Mailing Address - Country:US
Mailing Address - Phone:408-646-9004
Mailing Address - Fax:
Practice Address - Street 1:2360 MCKEE RD STE 4
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95116-1618
Practice Address - Country:US
Practice Address - Phone:408-729-0701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-27
Last Update Date:2021-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA95017650363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily