Andres Gerardo Rivera

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA63204 Issued in CA

Practice address

1040 7TH St
Wasco, CA 93280-1934

Phone

(661) 758-7801

NPI assigned

May 6, 2021

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Networks

• BSC 65 PLUS INDIVIDUAL MAPD

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Medicare reassignment NPD
• Adventist Health Physicians Network

  • Multi-Specialty Clinic/Center
  • Hanford, CA
  • NPI 1063718583
  Medicare reassignment
• Adventist Health Physicians Network

  • Physical Therapy Clinic/Center
  • Paradise, CA
  • NPI 1134092190
  NPD
• Adventist Health Physicians Network

  • Obstetrics & Gynecology Physician
  • Hanford, CA
  • NPI 1558954743
  NPD
• Reedley Community Hospital

  • Rural Health Clinic/Center
  • Earlimart, CA
  • NPI 1821699620
  NPD
• Adventist Health Physicians Network

  • Cardiovascular Disease Physician
  • Los Angeles, CA
  • NPI 1942602883
  NPD (past)
• Reedley Community Hospital

  • Rural Health Clinic/Center
  • Madera, CA
  • NPI 1720459514
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768262400000",
    "number": "1003490046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801934",
            "telephone_number": "661-758-7801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 7TH ST",
            "city": "WASCO",
            "state": "CA",
            "postal_code": "932801934",
            "telephone_number": "661-758-7801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIVERA",
        "first_name": "ANDRES",
        "middle_name": "GERARDO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2026-01-13",
        "certification_date": "2026-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA63204",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wolfgang Heinrich Renken, O.D.
• Vanessa Reyes Solis, PTA
• Kimberly Kai Richardson, BIRTHING DOULA
• Brigido Rios Jr, LCSW
• Saul Rios-Jimenez, LMFT
• Magued Rizk, M.D
• Florentino Avila Robles, FNP-C
• Adriana Rodriguez
• Ana Monserrat Rodriguez
• Deanna Leann Rodriguez, AMFT

• Physician Assistant in Wasco, CA
• Providers in Wasco, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.