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MRS. SHANNON RIVERA PA-C
NPI 1003214297
Physician Assistant in West Covina, CA

Active since December 20, 2014PECOS EnrolledAccepts Medicare Assignment
1115 S SUNSET AVE, WEST COVINA, CA 91790(626) 962-4011 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Dec 13, 2021, Sep 28, 2020, Sep 10, 2020 (3 updates tracked since 2020).

About Mrs. Shannon Rivera Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. SHANNON RIVERA PA-C (NPI 1003214297) is an individual physician assistant in West Covina, California, licensed in California (52148) and active in the NPI registry since December 2014. She is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1003214297
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. SHANNON RIVERACredential: PA-C
Location Address1115 S SUNSET AVEWest Covina, CA 91790-3940
Mailing Address9449 Imperial HwyDowney, CA 90242-2814 · (562) 657-4530
Phone(626) 962-4011
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateDecember 20, 2014
Last NPPES UpdateDecember 13, 20213 updates tracked since enumeration
NPPES CertifiedApril 8, 2021
✔ NPI 1003214297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52148
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
1115 S SUNSET AVE, West Covina, CA 91790
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Shannon Rivera Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365769080
PECOS Enrollment IDI20150317002722
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. CLAIRE MARIE TABARES FNP-C
Nurse Practitioner
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2547
CATHARINE IRENE JORDAN REGISTERED NURSE
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2534
IVY KRISTINA ENVERGA PHARMD
Pharmacist
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 814-2412
MICHELLE INGA
Registered Nurse (Emergency)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
LAUREN CAROL GENTILE PA-C
Physician Assistant
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
TREVOR-TRUNG NGUYEN
Student in an Organized Health Care Education/Training Program
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
DR. DAVID J MICHELSON M.D.
Psychiatry & Neurology (Neurology with Special Qualifications in Child Neurology)
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011
EMANATE HEALTH MEDICAL CENTER
General Acute Care Hospital
1115 S SUNSET AVE
WEST COVINA, CA 91790
Los Angeles County (626) 962-4011

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shannon Rivera's NPI number?

The NPI number for Shannon Rivera is 1003214297. It was assigned to this individual provider in the NPPES registry on December 20, 2014.

Where is Shannon Rivera located?

Shannon Rivera practices at 1115 S Sunset Ave, West Covina, CA 91790. The listed phone number is (626) 962-4011.

What is Shannon Rivera's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Shannon Rivera enrolled in Medicare?

Yes. Shannon Rivera is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Shannon Rivera was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.