Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Himelda Rivera Churchill, PA-C

Individual provider Physician Assistant · NPI 1912472747

Himelda Rivera Churchill, PA-C is a Physician Assistant in Santa Ana, California. Qualified in 2018, 8 years ago. Practices with County of Riverside, a 187-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
8
Licensed in
CA
In the registry since
2018
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

1206 E 17th St Ste 101
Santa Ana, CA 92701-2641
Phone: (714) 352-2911
Fax: (714) 380-6235
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA56112 (CA)

Record details

NPI number1912472747
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 8, 2018
Last updated in NPPESMarch 17, 2020
Certification dateMarch 17, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Group practice County Of Riverside — 187 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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