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WILLIE RIVERA LANDEROS PA
NPI 1255806535
Physician Assistant in Moreno Valley, CA

Active since October 12, 2018PECOS Enrolled
94.62/100
CMS Quality Rating
26520 CACTUS AVE, MORENO VALLEY, CA 92555(951) 486-4000 Get Directions Write a Review

NPPES record last updated: October 12, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Willie Rivera Landeros Pa NPPES

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

WILLIE RIVERA LANDEROS PA (NPI 1255806535) is an individual physician assistant in Moreno Valley, California, licensed in California (PA56066) and active in the NPI registry since October 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1255806535
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameWILLIE RIVERA LANDEROSCredential: PA
Location Address26520 CACTUS AVEMoreno Valley, CA 92555-3927
Mailing Address5475 Canyon Crest Dr Apt 92Riverside, CA 92507-6440 · (951) 565-7577
Phone(951) 486-4000
Sole ProprietorNo
Enumeration DateOctober 12, 2018
✔ NPI 1255806535 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 · PA56066
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.
26520 CACTUS AVE, Moreno Valley, CA 92555
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Other Names 1

Other Name (5)Willie Rivera

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Willie Rivera Landeros Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92555 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
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.62/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.67
Improvement Activities40
Cost97.14

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.

MARINA BOYARSKY M.D.
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE, FAMILY MEDICINE RESIDENCY PROGRAM
MORENO VALLEY, CA 92555
Riverside County (951) 486-5611
DR. THU KIEU NGUYEN HUYNH PHARM.D.
Pharmacist
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4613
ASHA PATEL RAJ DO
Family Medicine
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (714) 904-8341
COUNTY OF RIVERSIDE
Clinic/Center (Primary Care)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
MERETT W SAAD DO
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
GRACE SHINN
Pharmacist (Emergency Medicine)
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000
NOLAN S LANGFORD
Student in an Organized Health Care Education/Training Program
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-5434
DR. MY NGUYEN D.O.
Pediatrics
26520 CACTUS AVE
MORENO VALLEY, CA 92555
Riverside County (951) 486-4000

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 Willie Rivera Landeros's NPI number?

The NPI number for Willie Rivera Landeros is 1255806535. It was assigned to this individual provider in the NPPES registry on October 12, 2018. The provider is also known as Willie Rivera.

Where is Willie Rivera Landeros located?

Willie Rivera Landeros practices at 26520 Cactus Ave, Moreno Valley, CA 92555. The listed phone number is (951) 486-4000.

What is Willie Rivera Landeros's specialty?

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

Is Willie Rivera Landeros enrolled in Medicare?

Yes. Willie Rivera Landeros is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Willie Rivera Landeros was last updated on October 12, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.