Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1184005258 Individual Practitioner Male Practitioner

Robert Fontanilla , PA-C

Physician Assistant • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Robert Fontanilla, PA-C is a registered healthcare professional specializing in Physician Assistant in Riverside, CA. Practice services are available at 1970 UNIVERSITY AVE under active NPI credentials.

Frequently performed procedures and clinical services include insertion of needle into vein for collection of blood sample. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

1970 University Ave

Riverside, CA 925075202

Telephone 8338674642
Fax 3604625825
Associated Practice Facility / Clinic
🏢 Neighborhood Healthcare Facility NPI 1861125478

Specialty Benchmarks & Practice Insights

Comparative analytics for Physician Assistant in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 14.5 Yrs
State Avg: 11.5 Yrs
Regional Practice Density
166 Specialists

Practicing in Riverside, CA (14617 Statewide)

Telehealth Adoption Rate
6.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
86.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2021)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
36415 Insertion of needle into vein for collection of blood sample
18 12 $22.07 $3.00

Medical Specialties & State Licenses

CMS Verified: 2024-12-11
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

State License CA PA52552

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Jacquelyn Ramos , PA-C

Physician Assistant

NPI 1003515131

Physician Assistant (Certified)

Stephanie Houle-Kisil , NP

Nurse Practitioner - Family

NPI 1003674847

Nurse Practitioner

Kelli Sierras , LCSW

Social Worker - Clinical

NPI 1013289487

Licensed Clinical Social Worker

Maria Earhart , LCSW

Social Worker - Clinical

NPI 1013349588

Licensed Clinical Social Worker

NPI 1013694645

Physician Assistant

NPI 1023354206

DACM, Licensed Acupuncturist

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location December 11, 2024

Registered at 1970 UNIVERSITY AVE, RIVERSIDE, CA 925075202 (Tel: 8338674642)

📍
Updated Business Mailing Address December 11, 2024

Registered at 1970 UNIVERSITY AVE, RIVERSIDE, CA 925075202 (Tel: 8338674642)

NPI Profile Active June 15, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location June 15, 2015

Registered at 69175 RAMON RD, BUILDING A, CATHEDRAL CITY, CA 922343344 (Tel: 7603216776)

📍
Updated Business Mailing Address June 15, 2015

Registered at 69175 RAMON RD, BUILDING A, CATHEDRAL CITY, CA 922343344 (Tel: 7603216776)

👤
Provider Name / Credentials Updated June 15, 2015

Recorded as ROBERT FONTANILLA, PA-C

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) June 15, 2015

Physician Assistant (License #PA52552 in CA)

🟢
Initial NPI Registration & Enumeration June 15, 2015

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1184005258
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 15, 2015
Last Update: December 11, 2024
Sole Proprietor: No

Mailing Address

1970 University Ave

Riverside, CA 925075202

Phone: 8338674642

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.