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MRS. CARLY MARIE BASIRICO ERARD PA
NPI 1205087699
Physician Assistant in Ontario, CA

Active since October 04, 2008PECOS Enrolled
2295 S VINEYARD AVE, ONTARIO, CA 91761(909) 724-3083 Get Directions Write a Review

NPPES record last updated: October 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Carly Marie Basirico Erard Pa NPPES

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

MRS. CARLY MARIE BASIRICO ERARD PA (NPI 1205087699) is an individual physician assistant in Ontario, California, licensed in California (PA19878) and active in the NPI registry since October 2008. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205087699
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameMRS. CARLY MARIE BASIRICO ERARDCredential: PA
Location Address2295 S VINEYARD AVEOntario, CA 91761-7925
Mailing Address2295 S Vineyard AveOntario, CA 91761-7925 · (909) 724-3083
Phone(909) 724-3083
Sole ProprietorYes
Enumeration DateOctober 4, 2008
Last NPPES UpdateOctober 8, 2021
NPPES CertifiedOctober 8, 2021
✔ NPI 1205087699 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 · PA19878
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.
2295 S VINEYARD AVE, Ontario, CA 91761
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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)

Mrs. Carly Marie Basirico Erard Pa 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 91761 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.

DR. BENJAMIN MAURICE KERSHBERG M.D.
Pediatrics
2295 S VINEYARD AVE, MOB A
ONTARIO, CA 91761
San Bernardino County (909) 724-2554
MS. CHRISTINE RAMOS PHARM.D.
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-7640
DORIS WU
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-3120
LINA SALEHIAN
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-2126
JENNIFER RHEE
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-3500
MANUEL JOSE SALAS PHARM.D.
Pharmacist
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-7640
THUONG VU FNP
Nurse Practitioner (Family)
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (833) 574-2273
LIAN LIU MPH, RD, CDE
Dietitian, Registered
2295 S VINEYARD AVE
ONTARIO, CA 91761
San Bernardino County (909) 724-5000

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 Carly Erard's NPI number?

The NPI number for Carly Erard is 1205087699. It was assigned to this individual provider in the NPPES registry on October 4, 2008.

Where is Carly Erard located?

Carly Erard practices at 2295 S Vineyard Ave, Ontario, CA 91761. The listed phone number is (909) 724-3083.

What is Carly Erard's specialty?

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

Is Carly Erard enrolled in Medicare?

Yes. Carly Erard is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Carly Erard was last updated on October 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years 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.