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

Willie Rivera Landeros, PA

Individual provider Physician Assistant · NPI 1255806535

Willie Rivera Landeros, PA is a Physician Assistant in Moreno Valley, California. Licensed in California. Registered with an NPI since 2018.

Licensed in
CA
In the registry since
2018
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

26520 Cactus Ave
Moreno Valley, CA 92555-3927
Phone: (951) 486-4000
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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 PA56066 (CA)

Record details

NPI number1255806535
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 12, 2018
Last updated in NPPESOctober 12, 2018
Mailing address5475 Canyon Crest Dr Apt 92, Riverside, CA 92507-6440

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