EDWIN RIVERA PHYSICIAN ASSISTANT
NPI 1861474033
Physician Assistant - Medical in San Diego, CA
NPI Status: Active since November 15, 2005
Contact Information
4647 ZION AVE
SAN DIEGO, CA
ZIP 92120
Phone: (619) 528-2595
- Individual
- Male
- Years of Experience 29
- Physician Assistant
- Medical
- Accepts Medicare Approved Payment
- PECOS Enrolled
About EDWIN RIVERA
This page provides the complete NPI Profile along with additional information for Edwin Rivera, a primary care provider established in San Diego, California with a medical specialization in Physician Assistant, focusing in medical and more than 29 years of experience. The healthcare provider is registered in the NPI registry with number 1861474033 assigned on November 2005. The practitioner's primary taxonomy code is 363AM0700X with license number PA14420 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.
- NPI
- 1861474033
- Provider Name
- EDWIN RIVERA PHYSICIAN ASSISTANT
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 4647 ZION AVE SAN DIEGO, CA 92120
- Location Phone
- (619) 528-2595
- Mailing Address
- 4647 ZION AVE SAN DIEGO, CA 92120
- Mailing Phone
- (619) 528-2595
- Medical School Name
- OTHER
- Graduation Year
- 1997
- Is Sole Proprietor?
- No
- Enumeration Date
- 11-15-2005
- Last Update Date
- 11-29-2021
- Code Navigator
A primary care provider (PCP) like Edwin Rivera sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physician Assistant Medical
- Taxonomy Code
- 363AM0700X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- PA14420
- License State
- CA
Medicare Participation & PECOS Enrollment Status
Edwin Rivera is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.
Edwin Rivera is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 8820048895
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20050127000233
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Yes
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1861474033, we treat the final digit (3) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 67. The final step is to find the difference between that total and the next multiple of ten (70 - 67 = 3).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 67 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SAN DIEGO, CA 92120
SAN DIEGO, CA 92120
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1861474033, enumerated as an "individual" on November 15, 2005.
The provider is located at 4647 ZION AVE SAN DIEGO, CA 92120 and the phone number is (619) 528-2595.
Physician Assistant with taxonomy code 363AM0700X and a focus in Medical.
