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AMY MINELLY LOPEZ RIVERA PA-C
NPI 1548917685
Physician Assistant in San Bernardino, CA

Active since March 08, 2022
1505 W 17TH ST, SAN BERNARDINO, CA 92411(909) 887-6494(909) 887-6043 Get Directions Write a Review

NPPES record last updated: May 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 22, 2025, Nov 21, 2023, Dec 19, 2022 and 2 more (5 updates tracked since 2022).

About Amy Minelly Lopez Rivera Pa-c NPPES

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

AMY MINELLY LOPEZ RIVERA PA-C (NPI 1548917685) is an individual physician assistant in San Bernardino, California and active in the NPI registry since March 2022.

NPPES Registry Identity

NPI1548917685
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameAMY MINELLY LOPEZ RIVERACredential: PA-C
Location Address1505 W 17TH STSan Bernardino, CA 92411-1202
Mailing AddressPo Box 310943Fontana, CA 92331-0943 · (909) 823-4454 · Fax (909) 823-6918
Phone(909) 887-6494
Fax(909) 887-6043
Sole ProprietorNo
Enumeration DateMarch 8, 2022
Last NPPES UpdateMay 22, 20255 updates tracked since enumeration
NPPES CertifiedMay 22, 2025
✔ NPI 1548917685 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
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.
1505 W 17TH ST, San Bernardino, CA 92411
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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.

MEENA SURESH GURBANI MD
Pediatrics
1505 W 17TH ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6494
DR. GHIZAL NAITAQI MD
Pediatrics
1505 W 17TH ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6494
ALWIN LOUIE DO
Pediatrics
1505 W 17TH ST
SAN BERNARDINO, CA 92411
San Bernardino County (909) 887-6494

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 Amy Lopez Rivera's NPI number?

The NPI number for Amy Lopez Rivera is 1548917685. It was assigned to this individual provider in the NPPES registry on March 8, 2022.

Where is Amy Lopez Rivera located?

Amy Lopez Rivera practices at 1505 W 17th St, San Bernardino, CA 92411. The listed phone number is (909) 887-6494.

What is Amy Lopez 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 Amy Lopez Rivera was last updated on May 22, 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.