Individual provider Active NPI

Simerjit Kaur Riar, PA

  • Medical Physician Assistant
  • Selma, CA
National Provider Identifier
1154518363
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA19328 Issued in CA
Practice address
2511 Logan St
Selma, CA 93662-3012
Phone
(559) 896-2624
Fax
(559) 896-3235
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA19328 CA Primary

Addresses

Primary practice location

2511 Logan St
Selma, CA 93662-3012

Mailing address

2511 Logan St
Selma, CA 93662-3012
Phone (559) 896-2624

Other identifiers 1

IdentifierTypeStateIssuer
PA19328OtherCASTATE LIC

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080711000409 CA Practitioner - Physician Assistant 8325110059 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA19328CAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Adventist Health Physicians Network CurrentSince Oct 27, 2020 Accepting new patients
Adventist Health Physicians Network CurrentSince Oct 27, 2020 Accepting new patients
Central California Faculty Medical Group, Inc. Past Accepting new patients
Stanley Y. Louie DO, Inc Past Accepting new patients

Locations

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

Organizations & group practices 5

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": "1191283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191283200000",
    "number": "1154518363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2511 LOGAN ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623012",
            "telephone_number": "559-896-2624",
            "fax_number": "559-896-3235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2511 LOGAN ST",
            "city": "SELMA",
            "state": "CA",
            "postal_code": "936623012",
            "telephone_number": "559-896-2624",
            "fax_number": "559-896-3235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RIAR",
        "first_name": "SIMERJIT",
        "middle_name": "KAUR",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-02",
        "last_updated": "2007-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA19328",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LIC",
            "identifier": "PA19328",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Selma, CA

Sources for this page

Verify at the official NPI Registry.