ANDREW VINCENT RIVES (NPI# 1023487006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1023487006 |
Entity Type | Individual |
Full Name | ANDREW VINCENT RIVES |
Credential | PA-C |
Practice Address |
1901 W Lugonia Ave Ste 120 Redlands CA 92374-9704 |
Practice Telephone | 9095571600 |
Mailing Telephone | 9095571600 |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-21 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52824 | CA | Physician Assistants & Advanced Practice Nursing Providers |
N | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
52824 | CA | Physician Assistants & Advanced Practice Nursing Providers |
Street Address |
1901 W LUGONIA AVE STE 120 |
City | REDLANDS |
State | CA |
Zip Code | 92374-9704 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871532960 | Paul D Burton | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2006-06-05 |
1891200887 | Krystian Szczesik | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2017-12-12 |
1578911376 | Jibong Lei | Podiatrist | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2016-06-02 |
1730571159 | Melody Crisp | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2015-02-22 |
1477972651 | Robert Vercio | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2014-04-15 |
1326363557 | Daniel J Patton | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2010-03-31 |
1629281845 | Peter Elsissy | Orthopaedic Surgery | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2007-05-07 |
1396804019 | Vasco D Kidd | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2006-12-08 |
1902817463 | Anthony Giannini Smith II | Physician Assistant | 1901 W Lugonia Ave Ste 120, Redlands, CA 92374-9704 | 2006-08-10 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053802652 | V Rana Dds Inc | Clinic/Center | 1748 E Lugonia Ave Ste 126, Redlands, CA 92374 | 2018-05-21 |
1467979393 | Brianna Ashley Torres | Behavioral Analyst | 1467 Stillman Ave, Redlands, CA 92374 | 2017-08-22 |
1851821953 | Veronica Esqueda | Social Worker | 21 Crafton Ct, Redlands, CA 92374 | 2017-06-13 |
1053855783 | Caroline Daravi | Psychologist | 1706 Plum Lane #110, Redland, CA 92374 | 2016-12-14 |
1487092722 | Kathryn Wheeler | Speech-Language Pathologist | 112 Eleventh Street, Redlands, CA 92374 | 2013-06-10 |
1275979254 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 1220 Research Dr, Redlands, CA 92374 | 2013-05-16 |
1639515125 | Shantrice Nicole Burton | Speech-Language Pathologist | 1323 W Colton Ave Ste 105, Redlands, CA 92374 | 2013-05-11 |
1275898314 | Hrishikesh C Gogineni | Orthopaedic Surgery | 1801 Orange Tree Ln Ste 200, Redlands, CA 92374 | 2012-07-04 |
1609168897 | Mina Youssef | Psychiatry & Neurology | 26325 Snowden Ave, Redlands, CA 92374 | 2011-05-06 |
1902106545 | Jerrold Edward Hammer | Pharmacist | 422 N Orange St., Redlands, CA 92374 | 2010-10-29 |
Find all providers in zip 92374 |
Taxonomy Code | 363AM0700X |
Grouping | Physician Assistants & Advanced Practice Nursing Providers |
Classification | Physician Assistant |
Specialization | Medical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1710412499 | Hala Marie Azmi | Physician Assistant | 301 W Redlands Blvd, Redlands, CA 92373-4633 | 2017-05-01 |
1174900989 | Melissa Ann Teoli | Physician Assistant | 255 Terraciha Blvd Suite 101a, Redlands, CA 92373 | 2015-04-30 |
1194789750 | Robert R Fajardo | Physician Assistant | 2 W. Fern Ave., Redlands, CA 92373-5916 | 2006-04-12 |
1083108310 | Tony Wai Tiu | Physician Assistant | 245 Terracina Blvd Ste 202, Redlands, CA 92373-4867 | 2018-06-20 |
1013426154 | Madison Tucker Zagurski | Physician Assistant | 2 W Fern Ave, Redlands, CA 92373-5916 | 2017-09-20 |
1366811622 | Erin Abston | Physician Assistant | 25828 Redlands Blvd Ste 103, Redlands, CA 92373-8451 | 2015-09-17 |
1992173017 | Shannon Mullen | Physician Assistant | 1690 Barton Rd, Redlands, CA 92373-4229 | 2015-09-05 |
1942582739 | Ashley Stemley | Physician Assistant | 350 Terracina Blvd, Redlands, CA 92373-4850 | 2011-09-16 |
1710280383 | Christen Lee | Physician Assistant | 255 Terracina Blvd Ste 205c, Redlands, CA 92373-4870 | 2010-12-21 |
1154621985 | Robert James Karras | Physician Assistant | 255 Terracina Blvd, Suite 101a, Redlands, CA 92373-4870 | 2010-10-26 |
Find all providers in REDLANDS |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.