HIMELDA RIVERA CHURCHILL PA-C
NPI 1912472747
Physician Assistant in Santa Ana, CA

Active since October 08, 2018PECOS EnrolledAccepts Medicare Assignment
1206 E 17TH ST STE 101, SANTA ANA, CA 92701(714) 352-2911(714) 380-6235 Get Directions Write a Review

NPPES record last updated: March 17, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2020, May 31, 2019, Oct 8, 2018 (3 updates tracked since 2018).

About Himelda Rivera Churchill Pa-c NPPES

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

HIMELDA RIVERA CHURCHILL PA-C (NPI 1912472747) is an individual physician assistant in Santa Ana, California, licensed in California (PA56112) and active in the NPI registry since October 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1912472747
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHIMELDA RIVERA CHURCHILLCredential: PA-C
Location Address1206 E 17TH ST STE 101Santa Ana, CA 92701-2641
Mailing Address1206 E 17th St Ste 101Santa Ana, CA 92701-2641 · (714) 352-2911 · Fax (714) 380-6235
Fax(714) 380-6235
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateOctober 8, 2018
Last NPPES UpdateMarch 17, 20203 updates tracked since enumeration
NPPES CertifiedMarch 17, 2020
NPI 1912472747 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 · PA56112
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.

1206 E 17TH ST STE 101, Santa Ana, CA 92701

Other Names 1

Former Name (1)Himelda Rivera Orellana Pac

Other Identifiers 1

Medicaid1912472747CA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Himelda Rivera Churchill Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3779817150
PECOS Enrollment IDI20190619002340
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

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

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier11 claims11 services$195.33 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 20

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

Dentist (General Practice)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Social Worker (Clinical)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Dentist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Optometrist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Nurse Practitioner (Family)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Dentist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Family Medicine (Adult Medicine)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Internal Medicine
1206 E 17TH ST STE 101
SANTA ANA, CA 92701

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 Himelda Churchill's NPI number?

The NPI number for Himelda Churchill is 1912472747. It was assigned to this individual provider in the NPPES registry on October 8, 2018. The provider is also known as Himelda Rivera Orellana Pac.

Where is Himelda Churchill located?

Himelda Churchill practices at 1206 E 17th St Ste 101, Santa Ana, CA 92701. The listed phone number is (714) 352-2911.

What is Himelda Churchill's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Himelda Churchill enrolled in Medicare?

Yes. Himelda Churchill is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Himelda Churchill was last updated on March 17, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.