Individual provider · Type 1 NPI

Amy Minelly Lopez Rivera, PA-C

Physician Assistant · San Bernardino, CA

NPI number 1548917685 Active

Practice location

1505 W 17th St
San Bernardino, CA 92411-1202

Call (909) 887-6494 Map

Fax (909) 887-6043

Mailing address

PO Box 310943
Fontana, CA 92331-0943

Specialties and licenses

Taxonomy	Code	License
Physician Assistant Primary	363A00000X	None 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 1548917685

Amy Minelly Lopez Rivera, PA-C's National Provider Identifier is 1548917685, issued on Mar 8, 2022. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in San Bernardino, CA. The record was last updated on May 22, 2025.