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RENE RIVERA
NPI 1023845252
Physician Assistant in Santa Ana, CA

Active since September 19, 2024
2650 S BRISTOL ST STE 101, SANTA ANA, CA 92704(714) 754-1444 Get Directions Write a Review

NPPES record last updated: May 3, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Rene Rivera NPPES

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

RENE RIVERA (NPI 1023845252) is an individual physician assistant in Santa Ana, California, licensed in California (PA66154) and active in the NPI registry since September 2024.

NPPES Registry Identity

NPI1023845252
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameRENE RIVERA
Location Address2650 S BRISTOL ST STE 101Santa Ana, CA 92704-5751
Mailing Address1012 W Pine StSanta Ana, CA 92703-3942 · (714) 519-5234
Phone(714) 754-1444
Sole ProprietorNo
Enumeration DateSeptember 19, 2024
Last NPPES UpdateMay 3, 2025
NPPES CertifiedMay 3, 2025
✔ NPI 1023845252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · PA66154
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
2650 S BRISTOL ST STE 101, Santa Ana, CA 92704
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Other Providers at the Same Location NPPES 7

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

SUSAN SHIMA
Physician Assistant (Medical)
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444
CHRISTINA KIM FNP-C
Nurse Practitioner (Primary Care)
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444
MRS. AUTUMN LAUREN JOHNSON MPAP, PA-C
Physician Assistant
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444
AMANDA YADIRA BARRIO FNP
Nurse Practitioner (Family)
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444
MISS SARAH ELIZABETH BRODHEAD NP
Nurse Practitioner (Pediatrics)
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444
DR. MONA JASUJA M.D.
Pediatrics
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444
STEPHANIE LUU
Physician Assistant
2650 S BRISTOL ST STE 101
SANTA ANA, CA 92704
Orange County (714) 754-1444

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 Rene Rivera's NPI number?

The NPI number for Rene Rivera is 1023845252. It was assigned to this individual provider in the NPPES registry on September 19, 2024.

Where is Rene Rivera located?

Rene Rivera practices at 2650 S Bristol St Ste 101, Santa Ana, CA 92704. The listed phone number is (714) 754-1444.

What is Rene Rivera's specialty?

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

When was this NPI record last updated?

The NPPES record for Rene Rivera was last updated on May 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.