Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467040204 Individual Practitioner Female Practitioner

Lisa Marie Rivera , PA-C

Physician Assistant • Eureka, CA

Professional Overview & Biography Verified Profile Summary

Lisa Rivera, PA-C is a registered healthcare professional specializing in Physician Assistant in Eureka, CA. Practice services are available at 2350 BUHNE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

2350 Buhne St

Eureka, CA 955013238

Telephone 7074434593
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Eureka, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 9.8 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
41 Specialists

Practicing in Eureka, CA (14617 Statewide)

Telehealth Adoption Rate
17.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-06-05
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA65595

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.

Physician Assistant

NUCC Taxonomy Code: 363A00000X

State License AZ 8720

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.

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License AZ 8720

Definition to come...

Physician Assistant - Medical

NUCC Taxonomy Code: 363AM0700X

State License TX 718429

Definition to come...

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
105817 (AZ)
Commercial Insurance / Payer ID California License
PA65595 (CA)

Secondary Practice Locations

312 N Alma School Rd Ste 11

Chandler, AZ 852244354

Phone: 6027628142

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Elizabeth Valdivia , AMFT

Marriage & Family Therapist

NPI 1013868439

Associate Marriage and Family Therapist

NPI 1093285959

Doctor of Medicine (M.D.)

Amy Denton , RN

Registered Nurse

NPI 1093484354

Registered Nurse

NPI 1104815380

Doctor of Medicine (M.D.)

Dr. Chia Chen , MD

Legal Medicine

NPI 1124018171

Doctor of Medicine (M.D.)

Douglas Jornlin , RN

Registered Nurse

NPI 1225576366

Registered Nurse

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

14 Historical Events
📍
Updated Practice Location June 05, 2025

Registered at 2350 BUHNE ST, EUREKA, CA 955013238 (Tel: 7074434593)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 05, 2025

Physician Assistant (License #8720 in AZ)

📍
Updated Practice Location March 08, 2023

Registered at 9015 N 3RD ST, PHOENIX, AZ 850202444 (Tel: 4808824545)

👤
Provider Name / Credentials Updated March 08, 2023

Recorded as LISA RIVERA, PA-C

📍
Updated Practice Location February 10, 2022

Registered at 312 N ALMA SCHOOL RD STE 11, CHANDLER, AZ 852244354 (Tel: 6027628142)

📍
Updated Business Mailing Address February 10, 2022

Registered at 312 N ALMA SCHOOL RD STE 11, CHANDLER, AZ 852244354 (Tel: 6027628142)

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) February 10, 2022

Physician Assistant (License #8720 in AZ)

📍
Updated Business Mailing Address December 23, 2021

Registered at 2002 HOLCOMBE BLVD, HOUSTON, TX 770304211 (Tel: 5129884566)

NPI Profile Active January 07, 2021

NPI status registered as active in NPPES database

📍
Updated Practice Location January 07, 2021

Registered at 2002 HOLCOMBE BLVD, HOUSTON, TX 770304211 (Tel: 7137911414)

📍
Updated Business Mailing Address January 07, 2021

Registered at 3 HERMANN MUSEUM CIRCLE DR APT 5318, HOUSTON, TX 770047975 (Tel: 5129884566)

👤
Provider Name / Credentials Updated January 07, 2021

Recorded as LISA RIVERA, PHYSICIAN ASSISTANT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 07, 2021

Physician Assistant (License #718429 in TX)

🟢
Initial NPI Registration & Enumeration January 07, 2021

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

0 Reviews
No patient reviews submitted yet for Lisa Rivera. Be the first to share your experience!

Sign in to leave a review for Lisa Rivera

Only verified registered users can submit ratings, post feedback, and upload facility photos.

NPI Administrative Meta

NPI Number: 1467040204
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 07, 2021
Last Update: June 05, 2025
Sole Proprietor: Yes

Mailing Address

312 N Alma School Rd Ste 11

Chandler, AZ 852244354

Phone: 6027628142

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.