| Aspire Physician Assistant P.C. | |
|
3711 Long Beach Blvd Unit 4622 Long Beach CA 90807-3315 | |
| (213) 642-2400 | |
| Not Available |
| Full Name | Aspire Physician Assistant P.C. |
|---|---|
| Speciality | Internal Medicine |
| Location | 3711 Long Beach Blvd Unit 4622, Long Beach, California |
| Authorized Official Name and Position | Mary Rogers (AUTHORIZED REPRESENTATIVE) |
| Authorized Official Contact | 2136422400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Aspire Physician Assistant P.C. 3711 Long Beach Blvd Unit 4622 Long Beach CA 90807-3315 | Aspire Physician Assistant P.C. 3711 Long Beach Blvd Unit 4622 Long Beach CA 90807-3315 Ph: (213) 642-2400 |
| NPI Number | 1356211122 |
|---|---|
| Provider Enumeration Date | 11/07/2025 |
| Last Update Date | 08/11/2026 |
| Certification Date | 08/11/2026 |
| Medicare PECOS PAC ID | 3375021488 |
|---|---|
| Medicare Enrollment ID | O20260130000814 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356211122 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Tashariah M Robinson |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1154880656 PECOS PAC ID: 3173935905 Enrollment ID: I20201218000891 |
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