Individual provider Active NPI

Debie Lam Talovera, PA-C

  • Physician Assistant
  • Riverside, CA
National Provider Identifier
1043853633
Registry record updated May 11, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA58277 Issued in CA
Practice address
3975 Jackson St Ste 207
Riverside, CA 92503-3948
Phone
(951) 352-2092
NPI assigned
Oct 25, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 11, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X PA58277 CA
Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363A00000X PA58277 CA Primary

Addresses

Primary practice location

3975 Jackson St Ste 207
Riverside, CA 92503-3948

Mailing address

5038 Birch St Unit 326
Montclair, CA 91763-3071
Phone (909) 346-5338

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
58277CAMDOrthodontics and Dentofacial Orthopedic Dentist
PA58277CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1571961600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778457600000",
    "number": "1043853633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5038 BIRCH ST UNIT 326",
            "city": "MONTCLAIR",
            "state": "CA",
            "postal_code": "917633071",
            "telephone_number": "909-346-5338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3975 JACKSON ST STE 207",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033948",
            "telephone_number": "951-352-2092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LAM TALOVERA",
        "first_name": "DEBIE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-25",
        "last_updated": "2026-05-11",
        "certification_date": "2026-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "PA58277",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA58277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.