Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDWIN RIVERA, PHYSICIAN ASSISTANT
ActiveMedical Physician Assistant · SAN DIEGO, CA
Registration Details
- NPI Number
- 1861474033
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Nov 15, 2005 (20.470027353024 yrs)
- Last Updated
- Nov 29, 2021
- License
-
PA14420 (CA)
Practice Information
- Address
-
4647 ZION AVESAN DIEGO, CA, 921202507Browse CA providers · Browse ZIP 92120
- Phone
- 6195282595
- Primary Specialty
-
Medical Physician Assistant
363AM0700X
Other Medical Physician Assistant Providers in SAN DIEGO, CA
| Name | Credential | NPI |
|---|---|---|
| JOE B. BROCKMAN | PA-C | 1801882055 |
| TRACI M MORGAN | PA-C | 1518955574 |
| MS. HEATHER N. BEAMAN | PA-C | 1164411369 |
| MRS. MELISSA JOYANN FORTNER | PAC | 1972584209 |
| MR. CHRISTOPHER WITT | PA-C | 1982675708 |
| MR. DOUGLAS LEE FAISON | PA-C | 1396717492 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.