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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

ATHENNA MENJIVAR
NPI 1598545352
Physician Assistant in San Pedro, CA

Active since September 29, 2023
593 W 6TH ST, SAN PEDRO, CA 90731(310) 547-0202 Get Directions Write a Review

NPPES record last updated: October 9, 2026. Verified against the NPPES registry weekly; last sync: October 11, 2026.

About Athenna Menjivar NPPES

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

ATHENNA MENJIVAR (NPI 1598545352) is an individual physician assistant in San Pedro, California, licensed in California (PA68361) and active in the NPI registry since September 2023.

NPPES Registry Identity

NPI1598545352
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameATHENNA MENJIVAR
Location Address593 W 6TH STSan Pedro, CA 90731-2521
Mailing Address593 W 6th StSan Pedro, CA 90731-2521
Phone(310) 547-0202
Sole ProprietorNo
Enumeration DateSeptember 29, 2023
Last NPPES UpdateOctober 9, 2026
NPPES CertifiedOctober 9, 2026
✔ NPI 1598545352 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 · PA68361
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.
593 W 6TH ST, San Pedro, CA 90731
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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.

DR. JOHN BAPTIST RUSSO M.D.
Preventive Medicine (Public Health & General Preventive Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
KARLA BERENICE GUZMAN ALBA ASW132718
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CRISTHIAM AL SANTOS PA-C
Physician Assistant
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
REESE PRESCOTT ISAACSON
Internal Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
MAYRA PEREZ GONZALEZ
Social Worker (Clinical)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
EVELYN MARCIA DESSER RN, MN, FNP-BC
Nurse Practitioner (Family)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
OLUWAFEMISAYO A AKINNAGBE MD
Family Medicine
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202
CALEB MATTHEW LUSK MD
Family Medicine (Addiction Medicine)
593 W 6TH ST
SAN PEDRO, CA 90731
Los Angeles County (310) 547-0202

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 Athenna Menjivar's NPI number?

The NPI number for Athenna Menjivar is 1598545352. It was assigned to this individual provider in the NPPES registry on September 29, 2023.

Where is Athenna Menjivar located?

Athenna Menjivar practices at 593 W 6th St, San Pedro, CA 90731. The listed phone number is (310) 547-0202.

What is Athenna Menjivar'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 Athenna Menjivar was last updated on October 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.