EDWIN RIVERA


Address: 4647 Zion Ave, San Diego, CA 92120-2507
Phone: 6195282595

EDWIN RIVERA (NPI# 1861474033) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1861474033
Entity Type Individual
Full Name EDWIN RIVERA
Credential PHYSICIAN ASSISTANT
Practice Address 4647 Zion Ave
San Diego
CA 92120-2507
Practice Telephone 6195282595
Mailing Telephone 6195282595
Enumeration Date 2005-11-15
Last Update Date 2007-07-13
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 363AM0700X Physician Assistant
Specialization: Medical
PA14420 CA Physician Assistants & Advanced Practice Nursing Providers

Other Providers EDWIN RIVERA

NPI Name Taxonomy Address Enumeration
1518591114 Edwin Rivera Pharmacist Ext Forest Hills, D-32, Bayamon, PR 00956 2020-02-24
1144603713 Edwin Rivera Counselor 181 Mosely Ave, Staten Island, NY 10312-4163 2015-07-01
1285913780 Edwin Rivera Counselor 4427 Willow Pond Road, West Palm Beach, FL 33417 2011-08-15
1871778365 Edwin Ivan Rivera Counselor 6501 Van Nuys Blvd Ste 103, Van Nuys, CA 91401 2008-01-03
1679756480 Edwin Rivera Optometrist Street Georgetti #77, Comerio, PR 00782 2007-12-14
1669411211 Edwin Ariel Rivera General Practice J19 Calle Isla Verde, Urb. Eduardo J. Saldana, Carolina, PR 00983-1824 2006-06-06
1316184427 Edwin Fernando Rivera Sr. Physician Assistant 560 1st Ave, Tisch Room 1798, New York, NY 10016-6402 2009-01-12
1841414851 Edwin Rivera Social Worker 10 Bridge St, The Simpson Block, Lowell, MA 01852-1201 2007-04-12
1396832135 Edwin S Rivera Social Worker 20 Mitchell Ave, Binghamton, NY 13903 2006-10-05
1174539134 Edwin Rivera Radiology 1000 W Moreno St, Pensacola, FL 32501-2316 2006-07-31

Office Location

Street Address 4647 ZION AVE
City SAN DIEGO
State CA
Zip Code 92120-2507

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356332373 Jon Thomas Umlauf Family Medicine 4647 Zion Ave, San Diego, CA 92120 2005-10-31
1316586076 Michael Lam Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-12-29
1093358772 Kaily Walters Dietitian, Registered 4647 Zion Ave, San Diego, CA 92120-2507 2019-10-24
1023650496 Michael Dean Perry Radiology 4647 Zion Ave, San Diego, CA 92120-2507 2019-10-17
1912558297 Vishnavi Pailla Reddy Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-09-26
1124678016 Raymond Sami Totah Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-09-12
1225699416 Thao Phuong Nguyen Pharmacist 4647 Zion Ave, San Diego, CA 92120-2507 2019-06-27
1790340073 Edwin Uribe Contreras Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-05-02
1588229835 Anthony Jacob Sutton Mells Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-05-02
1295399640 Richard William Comeaux Student in an Organized Health Care Education/Training Program 4647 Zion Ave, San Diego, CA 92120-2507 2019-04-30
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1316550510 Jessica Elizabeth Knight Student in an Organized Health Care Education/Training Program 6383 Alvarado Ct, 310, San Diego, CA 92120 2020-08-26
1770195091 Julia Roccanova Student in an Organized Health Care Education/Training Program 6383 Alvarado Court, Suite 310, San Diego, CA 92120 2020-08-18
1225593601 Truself Training, Inc Clinic/Center 5125 Waring Road, San Diego, CA 92120 2019-02-09
1508381799 Antin Sachs In Home Supportive Care 4420 Rainier Avenue, Suite 202, San Diego, CA 92120 2017-08-08
1588186415 Matthew B Wilbat Behavioral Analyst 6851 Alvarado Rd., #17, San Diego, CA 92120 2017-07-12
1548782923 Mori Khatibzadeh Dds Inc. Clinic/Center 6171 Mission Gorge Road, Suite #114, San Diego, CA 92120 2017-07-07
1306379359 Ken Samith Oerding Nurse Practitioner 5422 Reservoir Drive, E7, San Diego Ca, CA 92120 2017-04-06
1396134409 Debra Michele Stern-ellis Social Worker 4647 Zion Avenue Kaiser Permanente, 2nd Floor - Oncology, San Diego, CA 92120 2015-01-13
1821494717 Shohreh Tourian Dentist 7451 Mission Gorge Road, San Diego, CA 92120 2014-11-05
1184049215 Charles Yin Counselor 6153 Fairmount Ave Suite #260, San Diego, CA 92120 2014-02-26
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Taxonomy Information

Taxonomy Code 363AM0700X
Grouping Physician Assistants & Advanced Practice Nursing Providers
Classification Physician Assistant
Specialization Medical

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1528610870 Josephine Hoa Ngoc Mai Physician Assistant 3050 Rue Dorleans Unit 291, San Diego, CA 92110-5904 2019-07-16
1962966309 Tashina Jessica Kraintz Physician Assistant 10431 Caminito Alvarez, San Diego, CA 92126-5838 2019-01-30
1801314042 Erika Dimitra Couris Physician Assistant 3969 Fourth Ave, #301, San Diego, CA 92103-9210 2017-09-08
1871859421 Lisa Nakhleh Boyd Physician Assistant 2999 Health Center Drive, San Diego, CA 92123 2012-04-09
1760759104 Brandon William Schroth Physician Assistant 357051 Nasni, Commander Naval Air Forces, San Diego, CA 92135-7051 2011-11-30
1891080750 Jennifer K Nguyen Physician Assistant 1466 Mariposa Street, San Diego, CA 92114-3612 2011-06-17
1942510698 Laurie Anne Reeves Physician Assistant 6367 Alvardo Ct., Suite #200, San Diego, CA 92120 2010-10-15
1568783108 Monica Gable Physician Assistant 2929 Health Center Dr., San Diego, CA 92123-7741 2010-06-17
1932422698 Debbie Lo Flores Physician Assistant 5030 Camino De La Siesta Ste 204, San Diego, CA 92108-3118 2010-03-10
1801125034 Lindsey R Hayes Physician Assistant Quentin Roosevelt Blvd, Building 8, San Diego, CA 92135-7051 2009-12-17
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Competitor

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City SAN DIEGO
Zip Code 92120

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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