Individual provider Active NPI

Hillary Avera, PHYSICIAN ASSISTANT

  • Pediatrics Physician
  • Temecula, CA
National Provider Identifier
1093276461
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
56645 Issued in CA
Practice address
41238 Margarita Rd Ste 106
Temecula, CA 92591-5552
Phone
(760) 780-2159
NPI assigned
Mar 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 56645 CA Primary

Addresses

Primary practice location

41238 Margarita Rd Ste 106
Temecula, CA 92591-5552

Mailing address

28780 Single Oak Dr Ste 260
Temecula, CA 92590-5534
Phone (951) 676-4193

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
56645CAMDEndodontist

Practice roles

OrganizationSpecialtyStatusNew patients
Rincon Health Network CurrentSince May 18, 2025 Accepting new patients
Rancho Family Medical Group, Inc. PastSince Feb 23, 2020 Accepting new patients

Locations

28780 Single Oak Dr
Ste 260
Temecula, CA 92590
Phone (951) 331-2200

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1553731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1093276461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28780 SINGLE OAK DR STE 260",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925905534",
            "telephone_number": "951-676-4193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41238 MARGARITA RD STE 106",
            "city": "TEMECULA",
            "state": "CA",
            "postal_code": "925915552",
            "telephone_number": "760-780-2159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AVERA",
        "first_name": "HILLARY",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-03-28",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "CA",
            "license": "56645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Temecula, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.