Individual provider · Type 1 NPI

Alexandra Nicole Reivitis

Physician Assistant · Santa Monica, CA

NPI number 1407528771 Active

Practice location

901 Wilshire Blvd Fl 1
Santa Monica, CA 90401-1854

Call (310) 829-8945 Map

Fax (424) 212-5934

Mailing address

2827 Coolidge Ave
Los Angeles, CA 90064-3821

Other practice locations

  • 360 Huntington Ave, Boston, MA 02115-5000 · (617) 373-3195

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X61956 (CA)
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1407528771

Alexandra Nicole Reivitis's National Provider Identifier is 1407528771, issued on Oct 4, 2021. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Santa Monica, CA. The record was last updated on Oct 22, 2025.