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

Lance Rivas, PA

Individual provider Physician Assistant · NPI 1346422821

Lance Rivas, PA is a Physician Assistant in Eureka, California. Qualified in 2007, 19 years ago. Practices with Providence Medical Foundation, a 1,465-clinician group and accepts Medicare assignment. Licensed in California and Illinois.

Years since qualifying
19
Licensed in
CA, IL
In the registry since
2007
Specialties on file
2
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

2826 Harris St
Eureka, CA 95503
Phone: (707) 443-8066
Fax: (707) 268-3251
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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 20085 (CA)
Physician Assistant Taxonomy 363A00000X · Licence 085-003145 (IL)

Record details

NPI number1346422821
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedNovember 27, 2007
Last updated in NPPESNovember 10, 2021
Certification dateNovember 10, 2021
Mailing address2826 Harris St, Eureka, CA 95503-4809

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Providence Medical Foundation — 1465 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations5 on file with Medicare

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