Active NPI
Eden Saray Avila, PA-C
- Physician Assistant
- Riverside, CA
National Provider Identifier
1922683515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA59443
- Practice address
- 5885 Brockton Ave
Riverside, CA 92506-1863 - Phone
- (619) 614-4933
- Fax
- (800) 680-3626
- NPI assigned
- Mar 15, 2021
- Last updated
- Aug 24, 2026
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA59443 | CA | Primary |
Addresses
Primary practice location
5885 Brockton Ave
Riverside, CA 92506-1863
Mailing address
PO Box 39614
Los Angeles, CA 90039-0614
Phone (619) 614-4933
Other practice location 1
4201 Long Beach Blvd Ste 203
Long Beach, CA 90807-2020
Phone (562) 997-7100
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1615766400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787529600000",
"number": "1922683515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 39614",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900390614",
"telephone_number": "619-614-4933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5885 BROCKTON AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061863",
"telephone_number": "619-614-4933",
"fax_number": "800-680-3626"
}
],
"practiceLocations": [
{
"address_1": "4201 Long Beach Blvd Ste 203",
"address_purpose": "LOCATION",
"city": "Long Beach",
"state": "CA",
"postal_code": "908072020",
"country_code": "US",
"telephone_number": "562-997-7100",
"fax_number": "562-981-9423",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "AVILA",
"first_name": "EDEN",
"middle_name": "SARAY",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-03-15",
"last_updated": "2026-08-24",
"certification_date": "2026-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA59443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.