Active NPI
Allison Rivera Mollet, PA-C
- Surgical Physician Assistant
- Brea, CA
National Provider Identifier
1073673364
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- PA16578
- Practice address
- 255 W Central Ave
Suite 101
Brea, CA 92821-3373 - Phone
- (714) 582-2530
- NPI assigned
- Dec 9, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA16578 | CA | Primary |
Addresses
Primary practice location
255 W Central Ave
Suite 101
Brea, CA 92821-3373
Mailing address
255 W Central Ave
Suite 101
Brea, CA 92821-3373
Phone (714) 582-2530
Other names 1
- Allison Rivera Merriman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA16578 | CA | MD | Surgical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165622400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1706140800000",
"number": "1073673364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "255 W CENTRAL AVE",
"address_2": "SUITE 101",
"city": "BREA",
"state": "CA",
"postal_code": "928213373",
"telephone_number": "714-582-2530"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "255 W CENTRAL AVE",
"address_2": "SUITE 101",
"city": "BREA",
"state": "CA",
"postal_code": "928213373",
"telephone_number": "714-582-2530"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MOLLET",
"first_name": "ALLISON",
"middle_name": "RIVERA",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-12-09",
"last_updated": "2024-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA16578",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ALLISON",
"last_name": "MERRIMAN",
"middle_name": "RIVERA",
"credential": "PA-C",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Brea, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.