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ROBERT FONTANILLA PA-C
NPI 1184005258
Physician Assistant in Riverside, CA

Active since June 15, 2015PECOS Enrolled
1970 UNIVERSITY AVE, RIVERSIDE, CA 92507(833) 867-4642(360) 462-5825 Get Directions Write a Review

NPPES record last updated: December 11, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Robert Fontanilla Pa-c NPPES

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

ROBERT FONTANILLA PA-C (NPI 1184005258) is an individual physician assistant in Riverside, California, licensed in California (PA52552) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184005258
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameROBERT FONTANILLACredential: PA-C
Location Address1970 UNIVERSITY AVERiverside, CA 92507-5202
Mailing Address1970 University AveRiverside, CA 92507-5202 · (833) 867-4642 · Fax (360) 462-5825
Phone(833) 867-4642
Fax(360) 462-5825
Sole ProprietorNo
Enumeration DateJune 15, 2015
Last NPPES UpdateDecember 11, 2024
NPPES CertifiedDecember 11, 2024
✔ NPI 1184005258 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 · PA52552
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.
1970 UNIVERSITY AVE, Riverside, CA 92507
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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 (PECOS)

Robert Fontanilla Pa-c is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 92507 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 14

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

MYRIAM MEME DDS
Dentist
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (833) 867-4642
MITSUKO MURATA HYGIENIST
Dental Hygienist
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 276-0668
DR. VALERIA PEREIRA DDS
Dentist (Pediatric Dentistry)
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 276-0661
NATALIA MONICA CARDENAS PA-C
Physician Assistant (Medical)
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 213-3450
DR. PHILIP A BRADFORD DDS
Dentist (General Practice)
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 276-0668
MAK NAI DOHR HYGIENIST
Dental Hygienist
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 276-0668
MARIA SALVE BUENO DMD
Dentist
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 276-0668
DR. ROBERT B MARTIN D.M.D.
Dentist (Pediatric Dentistry)
1970 UNIVERSITY AVE
RIVERSIDE, CA 92507
Riverside County (951) 213-3450

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 Robert Fontanilla's NPI number?

The NPI number for Robert Fontanilla is 1184005258. It was assigned to this individual provider in the NPPES registry on June 15, 2015.

Where is Robert Fontanilla located?

Robert Fontanilla practices at 1970 University Ave, Riverside, CA 92507. The listed phone number is (833) 867-4642.

What is Robert Fontanilla's specialty?

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

Is Robert Fontanilla enrolled in Medicare?

Yes. Robert Fontanilla is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Robert Fontanilla was last updated on December 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.