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

Active since January 07, 2021
2350 BUHNE ST, EUREKA, CA 95501(707) 443-4593 Get Directions Write a Review

NPPES record last updated: June 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 5, 2025, Mar 8, 2023, Feb 10, 2022 and 3 more (6 updates tracked since 2021).

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 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

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.

ELIZABETH CHANTEL VALDIVIA AMFT
Marriage & Family Therapist
2350 BUHNE ST
EUREKA, CA 95501
Humboldt County (707) 443-4593
DR. LAWRENCE JOSEPH WIELAND MD
General Practice
2350 BUHNE ST, A
EUREKA, CA 95501
Humboldt County (707) 443-4593
DR. CHIA CHEN MD
Legal Medicine
2350 BUHNE ST, A
EUREKA, CA 95501
Humboldt County (707) 443-4593
DOUGLAS JORNLIN RN
Registered Nurse
2350 BUHNE ST, SUITE A
EUREKA, CA 95501
Humboldt County (707) 443-4593
AMY LOUISE ANNALA
Social Worker (Clinical)
2350 BUHNE ST
EUREKA, CA 95501
Humboldt County (707) 443-4593
KATELYN GALLAGHER RN
Registered Nurse (Women's Health Care, Ambulatory)
2350 BUHNE ST
EUREKA, CA 95501
Humboldt County (707) 443-4666
DR. MELISSA WILCOX-FALK M.D.
Family Medicine
2350 BUHNE ST
EUREKA, CA 95501
Humboldt County (707) 443-4593
DR. ALLISON BURTON MD
Family Medicine
2350 BUHNE ST, A
EUREKA, CA 95501
Humboldt County (707) 443-4593

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 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.

Where is Lisa Rivera located?

Lisa Rivera practices at 2350 Buhne St, Eureka, CA 95501. The listed phone number is (707) 443-4593.

What is Lisa 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 Lisa Rivera was last updated on June 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.