Active NPI
Alonzo Rivas, PA
- Physician Assistant
- Austin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA07012
- Practice address
- 2410 E Riverside Dr
Ste G-3
Austin, TX 78741-3083 - Phone
- (512) 744-6000
- Fax
- (512) 448-3776
- NPI assigned
- Apr 8, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085008756 | IL | |
| Physician Assistant | 363A00000X | PA07012 | TX | Primary |
| Physician Assistant | 363A00000X | 027617 | NY | |
| Physician Assistant | 363A00000X | PA61234695 | WA | |
| Physician Assistant | 363A00000X | PA66983 | CA | |
| Physician Assistant | 363A00000X | 875323 | WI |
Addresses
Primary practice location
2410 E Riverside Dr
Ste G-3
Austin, TX 78741-3083
Mailing address
2621 Ridgepoint Dr
Ste 130
Austin, TX 78754-5232
Phone (512) 583-9679
Other practice location 1
333 1st St Ste A
San Francisco, CA 94105-2661
Phone (888) 803-3370
Other practice location 2
156 William St Rm 303
New York, NY 10038-5307
Phone (888) 803-3370
Other practice location 3
1400 N Coit Rd Ste 302
McKinney, TX 75071-6656
Phone (888) 803-3370
Other practice location 4
415 N Crescent Dr Ste 320
Beverly Hills, CA 90210-6813
Phone (888) 803-3370
Other practice location 5
790 N Milwaukee St Ste 313
Milwaukee, WI 53202-4148
Phone (888) 803-3370
Other practice location 6
21660 W Field Pkwy
Deer Park, IL 60010-7265
Phone (888) 803-3370
Other practice location 7
555 Andover Park W Ste 200
Tukwila, WA 98188-3379
Phone (888) 803-3370
Other practice location 8
5373 W Alabama St Ste 204
Houston, TX 77056-5923
Phone (888) 803-3370
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, IL, NY, WA, CA, WI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2010
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
333 1St St
Suite a
San Francisco, CA 94105-2661
Phone (888) 803-3370
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66983 | CA | MD | Pharmacist |
| PA66983 | CA | MD | Physician Assistant |
| 875323 | WI | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rediclinic Austin, LLC | Current | Accepting new patients | |
| Circle Medical Care of California | Current | Accepting new patients |
Locations
415 N Crescent Dr
Ste 320
Beverly Hills, CA 90210
Phone (415) 510-2755
333 1st St
Ste A
San Francisco, CA 94105
Phone (312) 724-7441
21660 W Field Pkwy
Deer Park, IL 60010
Phone (312) 620-1803
156 William St
Rm 303
New York, NY 10038
Phone (718) 866-4435
500 Canyon Ridge Dr
Austin, TX 78753
Phone (512) 836-9000
6900 Brodie Ln
Austin, TX 78745
Phone (512) 891-8906
170 E Whitestone Blvd
Cedar Park, TX 78613
Phone (512) 259-5755
5373 W Alabama St
Ste 204
Houston, TX 77056
Phone (281) 569-4289
9 Greenway Plz
Ste 2950
Houston, TX 77046
Phone (713) 335-1731
1400 N Coit Rd
Ste 302
McKinney, TX 75071
Phone (214) 504-3005
555 Andover Park W
Ste 200
Tukwila, WA 98188
Phone (229) 500-6056
790 N Milwaukee St
Ste 313
Milwaukee, WI 53202
Organizations & group practices 4
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.
-
- Family Medicine Physician
- San Francisco, CA
- NPI 1134596091
-
- Family Medicine Physician
- New York, NY
- NPI 1780425447
-
- Clinic/Center
- Austin, TX
- NPI 1235594821
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773878400000",
"number": "1689964819",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2621 RIDGEPOINT DR",
"address_2": "STE 130",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787545232",
"telephone_number": "512-583-9679",
"fax_number": "512-334-2321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2410 E RIVERSIDE DR",
"address_2": "STE G-3",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787413083",
"telephone_number": "512-744-6000",
"fax_number": "512-448-3776"
}
],
"practiceLocations": [
{
"address_1": "333 1st St Ste A",
"address_purpose": "LOCATION",
"city": "San Francisco",
"state": "CA",
"postal_code": "941052661",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "156 William St Rm 303",
"address_purpose": "LOCATION",
"city": "New York",
"state": "NY",
"postal_code": "100385307",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1400 N Coit Rd Ste 302",
"address_purpose": "LOCATION",
"city": "McKinney",
"state": "TX",
"postal_code": "750716656",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "415 N Crescent Dr Ste 320",
"address_purpose": "LOCATION",
"city": "Beverly Hills",
"state": "CA",
"postal_code": "902106813",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "790 N Milwaukee St Ste 313",
"address_purpose": "LOCATION",
"city": "Milwaukee",
"state": "WI",
"postal_code": "532024148",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "21660 W Field Pkwy",
"address_purpose": "LOCATION",
"city": "Deer Park",
"state": "IL",
"postal_code": "600107265",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "555 Andover Park W Ste 200",
"address_purpose": "LOCATION",
"city": "Tukwila",
"state": "WA",
"postal_code": "981883379",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5373 W Alabama St Ste 204",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770565923",
"country_code": "US",
"telephone_number": "888-803-3370",
"fax_number": "888-803-3331",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "RIVAS",
"first_name": "ALONZO",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2026-03-19",
"certification_date": "2026-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085008756",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA07012",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "027617",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WA",
"license": "PA61234695",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA66983",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "WI",
"license": "875323",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2026; 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.