Benito Rivas Jr., PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA15862 Issued in CA

Practice address

12686 Avenue 416
Orosi, CA 93647-2054

Phone

(559) 528-4717

Fax

(559) 528-0302

NPI assigned

Jan 30, 2006

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

Other identifiers 1

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

Specialty

Physician Assistant

Education

Stanford University School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cherry ClinicGroup PAC ID 6002235223, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Adventist Health Reedley Hospital, Reedley, CA, CCN 050192

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Orosi Urgent Care,

  • Family Medicine Physician
  • Orosi, CA
  • NPI 1528005410
  NPD Authorized official
• Cherry Clinic

  • General Practice Physician
  • Cutler, CA
  • NPI 1275146037
  Care Compare group NPD (past)
• San Joaquin Family Healthcare Association, Inc

  • Rural Health Clinic/Center
  • Orosi, CA
  • NPI 1588725972
  NPD
• East Valley Family Healthcare, Inc.

  • Rural Health Clinic/Center
  • Orosi, CA
  • NPI 1225411747
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Reedley Community Hospital

  • General Acute Care Hospital
  • Reedley, CA
  • NPI 1336167550
  Care Compare affiliation

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574899200000",
    "number": "1124099049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12683 AVENUE 416",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472017",
            "telephone_number": "559-528-4717",
            "fax_number": "559-528-0302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12686 AVENUE 416",
            "city": "OROSI",
            "state": "CA",
            "postal_code": "936472054",
            "telephone_number": "559-528-4717",
            "fax_number": "559-528-0302"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "41696 Road 128",
            "address_purpose": "LOCATION",
            "city": "Orosi",
            "state": "CA",
            "postal_code": "936472059",
            "country_code": "US",
            "telephone_number": "559-528-6966",
            "fax_number": "559-528-3665",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RIVAS",
        "first_name": "BENITO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2019-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA15862",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIAN ASSISTANT BOARD",
            "identifier": "PA15862",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lizette Quintanila
• Antonio Quintanilla
• Olivia Ramirez-Reyna, MA,PPS
• Reedley Community Hospital
• Alejandra Reyna Martin
• Tasha Justine Rivera, PPS
• Jennifer Robledo Vargas
• Flora Rodriguez, PA-C
• Jill M. Russom, MD
• Alberto Ruvalcaba, M.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2019; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.