LISA MARIE RIVERA PA-C - NPI 1467040204 - Physician Assistant in Eureka, CA

Q: What is Lisa Rivera's NPI number?

The NPI number for Lisa Rivera is 1467040204. It was assigned to this individual provider in the NPPES registry on January 7, 2021.

Q: What is Lisa Rivera's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Lisa Rivera was last updated on June 5, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Lisa Marie Rivera Pa-c NPPES

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

LISA MARIE RIVERA PA-C (NPI 1467040204) is an individual physician assistant in Eureka, California, licensed in California (PA65595) and active in the NPI registry since January 2021. She is enrolled in Medicare PECOS and maintains a secondary practice location in Chandler.

NPPES Registry Identity

NPI1467040204

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameLISA MARIE RIVERACredential: PA-C

Location Address2350 BUHNE STEureka, CA 95501-3238

Mailing Address312 N Alma School Rd Ste 11Chandler, AZ 85224-4354 · (602) 762-8142

Phone(707) 443-4593

Sole ProprietorYes

Enumeration DateJanuary 7, 2021

Last NPPES UpdateJune 5, 20256 updates tracked since enumeration

NPPES CertifiedJune 5, 2025

✔ NPI 1467040204 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

Licenses✔ Licensed in CA · PA65595✔ Licensed in AZ · 8720

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 ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 8720 (AZ), 718429 (TX)

2350 BUHNE ST, Eureka, CA 95501

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Secondary Practice Location 1

Location 1312 N Alma School Rd Ste 11Chandler, AZ 85224-4354 · Phone (602) 762-8142

Other Identifiers 2

Medicaid105817AZ

OtherPA65595CA · California License

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Lisa Marie Rivera Pa-c 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 95501 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

$90.32 typical visit price

range $58.87 – $176.60

Typical copayment $22.58 (range $14.71 – $44.15)

Most-billed visit code 99203

Established Patient

$73.16 typical visit price

range $19.28 – $144.60

Typical copayment $18.29 (range $4.82 – $36.15)

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.