Rivera, Victoria A

Rivera, Victoria A is an individual health care provider with primary practice located at 20130 Lake Chabot Rd Ste 202 , Castro Valley CA 94546-5340. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Rivera, Victoria A can be contacted via phone (510) 582-6424.

Contact Information

Primary practice address
20130 Lake Chabot Rd Ste 202 Castro Valley CA 94546-5340
Phone: (510) 582-6424
Fax: (510) 582-6462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA15230 California

Profile Details

NPI number 1194767111
LBN Legal business name Rivera, Victoria A
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2006
Last updated Feb 9th, 2015 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1194767111 NPPES
California MEDICAID PA15230

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