Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Justin Guy Rivera, PHYSICIANASSISTANT

Individual provider Family Medicine Physician · NPI 1346884806

Justin Guy Rivera, PHYSICIANASSISTANT is a Physician Assistant in San Antonio, Texas. Qualified in 2019, 7 years ago. Practices with Nluc PLLC, a 222-clinician group and accepts Medicare assignment. Licensed in California and Texas.

Years since qualifying
7
Licensed in
CA, TX
In the registry since
2019
Specialties on file
3
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Practice location Address checks out

6841 San Pedro Ave
San Antonio, TX 78216-7202
Phone: (210) 901-6743
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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 PA14175 (TX)
Family Medicine Physician Taxonomy 207Q00000X · Licence PA57420 (CA)
Urgent Care Clinic/Center Taxonomy 261QU0200X · Licence PA14175 (TX)

Record details

NPI number1346884806
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICIANASSISTANT
Sole proprietorYes
NPI enumeratedOctober 29, 2019
Last updated in NPPESJanuary 16, 2026
Certification dateJanuary 16, 2026

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Nluc Pllc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in San Antonio