Active NPI
Lindsay Riley, PA-C
- Medical Physician Assistant
- Soledad, CA
National Provider Identifier
1548620131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 53219
- Practice address
- 799 Front St
Soledad, CA 93960-3017 - Phone
- (702) 622-0924
- NPI assigned
- Feb 25, 2016
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 53219 | CA | Primary |
Addresses
Primary practice location
799 Front St
Soledad, CA 93960-3017
Mailing address
30635 Sea Horse Cir
Canyon Lake, CA 92587-7430
Phone (702) 622-0924
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
| License | State | Type | Specialty |
|---|---|---|---|
| 53219 | CA | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458604800000",
"number": "1548620131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "30635 SEA HORSE CIR",
"city": "CANYON LAKE",
"state": "CA",
"postal_code": "925877430",
"telephone_number": "702-622-0924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "799 FRONT ST",
"city": "SOLEDAD",
"state": "CA",
"postal_code": "939603017",
"telephone_number": "702-622-0924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "LINDSAY",
"name_prefix": "Ms.",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-25",
"last_updated": "2016-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "CA",
"license": "53219",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Soledad, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.