1. Home
  2. Directory
  3. Arizona
  4. Mesa
  5. Physician Assistant
  6. NPI Profile

WILBEN ANDY LARIVIERE PA
NPI 1154076933
Physician Assistant - Medical in Mesa, AZ

Active since February 19, 2022
2045 S VINEYARD STE 119, MESA, AZ 85210(480) 300-4646(480) 300-4646 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Mar 3, 2023, Apr 19, 2022 and 1 more (4 updates tracked since 2022).

About Wilben Andy Lariviere Pa NPPES

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

WILBEN ANDY LARIVIERE PA (NPI 1154076933) is an individual medical provider in Mesa, Arizona, licensed in Puerto Rico (1212-P.A.) and active in the NPI registry since February 2022. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154076933
Entity TypeIndividualMale
Primary Taxonomy363AM0700X
Provider Legal NameWILBEN ANDY LARIVIERECredential: PA
Location Address2045 S VINEYARD STE 119Mesa, AZ 85210-6890
Mailing Address2045 S Vineyard Ste 119Mesa, AZ 85210-6890 · (480) 300-4646
Phone(480) 300-4646
Fax(480) 300-4646
Sole ProprietorNo
Enumeration DateFebruary 19, 2022
Last NPPES UpdateSeptember 11, 20254 updates tracked since enumeration
NPPES CertifiedMarch 3, 2023
✔ NPI 1154076933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AM0700X
License✔ Licensed in PR · 1212-P.A.
2045 S VINEYARD STE 119, Mesa, AZ 85210
Open in Google Maps ↗

Secondary Practice Locations 2

Location 18260 NE 2nd AveMiami, FL 33138-3808 · Phone (305) 757-9555
Location 2333 W Thomas Rd Ste 208APhoenix, AZ 85013-4425 · Phone (480) 300-4646 · Fax (480) 210-5059

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of Arizona.Insurance ›

Other Providers at the Same Location NPPES 3

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

DR. YASIR AHMED BATRES MD
Internal Medicine (Cardiovascular Disease)
2045 S VINEYARD STE 119
MESA, AZ 85210
Maricopa County (480) 300-4646
ARIZONA HEART DOCTOR
Internal Medicine (Cardiovascular Disease)
2045 S VINEYARD STE 119
MESA, AZ 85210
Maricopa County (480) 300-4646
PRIDHVI RAJAKUMAR YELAMANCHILI MD
Internal Medicine (Interventional Cardiology)
2045 S VINEYARD STE 119
MESA, AZ 85210
Maricopa County (480) 786-9685

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 Wilben Lariviere's NPI number?

The NPI number for Wilben Lariviere is 1154076933. It was assigned to this individual provider in the NPPES registry on February 19, 2022.

Where is Wilben Lariviere located?

Wilben Lariviere practices at 2045 S Vineyard Ste 119, Mesa, AZ 85210. The listed phone number is (480) 300-4646.

What is Wilben Lariviere's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

What insurance does Wilben Lariviere accept?

Health plans from Blue Cross Blue Shield of Arizona list Wilben Lariviere as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Wilben Lariviere was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.