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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JARED ROBERTSON PA-C
NPI 1073918413
Physician Assistant in Riverside, CA

Active since October 28, 2014PECOS EnrolledAccepts Medicare Assignment
10800 MAGNOLIA AVE, RIVERSIDE, CA 92505(951) 353-2000 Get Directions Write a Review

NPPES record last updated: June 29, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Jared Robertson Pa-c NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JARED ROBERTSON PA-C (NPI 1073918413) is an individual physician assistant in Riverside, California, licensed in California (52087) and active in the NPI registry since October 2014. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1073918413
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameJARED ROBERTSONCredential: PA-C
Location Address10800 MAGNOLIA AVERiverside, CA 92505-3043
Mailing Address10800 Magnolia AveRiverside, CA 92505-3043
Phone(951) 353-2000
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateOctober 28, 2014
Last NPPES UpdateJune 29, 2026
NPPES CertifiedJune 29, 2026
✔ NPI 1073918413 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in CA · 52087
Definition
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, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
10800 MAGNOLIA AVE, Riverside, CA 92505
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jared Robertson Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547585820
PECOS Enrollment IDI20150207000426
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KAISER PERMANENTE
General Acute Care Hospital
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (951) 353-4988
PATRICK T MC GILL PA
Physician Assistant
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
ROBERT L. RUDEK MD
Surgery
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
RICHARD M. BRADBURNE MD
Internal Medicine (Critical Care Medicine)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
SUNG JIN JOHN MD
Family Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
SHELLY C. THIO MD
Internal Medicine
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
GREGORY MARRUJO MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000
REBECCA J SEAWELL NP
Nurse Practitioner
10800 MAGNOLIA AVE
RIVERSIDE, CA 92505
Riverside County (909) 353-2000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jared Robertson's NPI number?

The NPI number for Jared Robertson is 1073918413. It was assigned to this individual provider in the NPPES registry on October 28, 2014.

Where is Jared Robertson located?

Jared Robertson practices at 10800 Magnolia Ave, Riverside, CA 92505. The listed phone number is (951) 353-2000.

What is Jared Robertson's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Jared Robertson enrolled in Medicare?

Yes. Jared Robertson is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jared Robertson was last updated on June 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 52 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.