ANDREA RIDA
NPI 1629541354
Physician Assistant - Surgical in Loma Linda, CA

Q: What is Andrea Rida's NPI number?

The NPI number for Andrea Rida is 1629541354. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Q: What is Andrea Rida's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Q: When was this NPI record last updated?

The NPPES record for Andrea Rida was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since January 04, 2019PECOS Enrolled

85.18/100

CMS Quality Rating

11234 ANDERSON ST # 2562B, LOMA LINDA, CA 92354(909) 558-4479 Get Directions Write a Review

NPPES record last updated: October 27, 2023. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Oct 27, 2023, Jul 19, 2022, Aug 11, 2021 and 1 more (4 updates tracked since 2019).

On this page

About Andrea Rida NPPES

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

ANDREA RIDA (NPI 1629541354) is an individual surgical provider in Loma Linda, California and active in the NPI registry since January 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629541354

Entity TypeIndividualFemale

Primary Taxonomy363AS0400X

Provider Legal NameANDREA RIDA

Location Address11234 ANDERSON ST # 2562BLoma Linda, CA 92354-2804

Mailing Address1084 Vista Lomas LnCorona, CA 92882-3629 · (909) 373-6775

Phone(909) 558-4479

Sole ProprietorYes

Enumeration DateJanuary 4, 2019

Last NPPES UpdateOctober 27, 20234 updates tracked since enumeration

NPPES CertifiedJuly 19, 2022

✔ NPI 1629541354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AS0400X

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X

11234 ANDERSON ST # 2562B, Loma Linda, CA 92354

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Andrea Rida 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.

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.

85.18/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

71.81

Promoting Interoperability

Improvement Activities

Cost

64.54

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260

DME-Hospital Beds · category DB000N

1 supplier12 claims12 services$43.50 avg. paid by Medicare

Respiratory suction pump, home model, portable or stationary, electric E0600

DME-Other DME · category DE000N

1 supplier12 claims12 services$31.03 avg. paid by Medicare

Patient lift, hydraulic or mechanical, includes any seat, sling, strap(s) or pad(s) E0630

DME-Other DME · category DE000N

1 supplier12 claims12 services$34.26 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ROBYN NIGELLE SANTOS BANZON

Physician Assistant

11234 ANDERSON ST # 2562B
LOMA LINDA, CA 92354

San Bernardino County (909) 558-4479

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 Andrea Rida's NPI number?

The NPI number for Andrea Rida is 1629541354. It was assigned to this individual provider in the NPPES registry on January 4, 2019.

Where is Andrea Rida located?

Andrea Rida practices at 11234 Anderson St # 2562B, Loma Linda, CA 92354. The listed phone number is (909) 558-4479.

What is Andrea Rida's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Andrea Rida enrolled in Medicare?

Yes. Andrea Rida is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Andrea Rida was last updated on October 27, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.