Provider Demographics
NPI:1790021186
Name:ARMATIS-RIVERA, LINDSEY (PA-C)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:
Last Name:ARMATIS-RIVERA
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:616 S COAST HWY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92054-4121
Mailing Address - Country:US
Mailing Address - Phone:760-433-1800
Mailing Address - Fax:180-062-1316
Practice Address - Street 1:616 S COAST HWY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-4121
Practice Address - Country:US
Practice Address - Phone:760-433-1800
Practice Address - Fax:180-062-1316
Is Sole Proprietor?:No
Enumeration Date:2012-12-12
Last Update Date:2015-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL085.004495363A00000X
CA51911363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant