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:
Health care specialties
Specialty | Code | License # | 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 10 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1194767111 | NPPES |
California | MEDICAID | PA15230 |
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