Individual provider · Type 1 NPI

Simon Rivera

Physician Assistant · Midlothian, VA

NPI number 1700096963 Active

Practice location

13700 St. Francis Blvd, Emergency Medicine Department
Midlothian, VA 23114-3267

Fax (804) 594-0489

Mailing address

38935 Ann Arbor Road, Credentialing/payer Contracting
Livonia, MI 48150-3397

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X011817 (NY)
Physician Assistant Primary 363A00000X0110002952 (VA)

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 1700096963

Simon Rivera's National Provider Identifier is 1700096963, issued on May 23, 2007. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Midlothian, VA. The record was last updated on Jul 23, 2025.