Individual provider · Type 1 NPI

Genevieve A. Long, PA-C

Physician Assistant · Riverside, CA

NPI number 1083686901 Active

Practice location

4510 Brockton Ave Ste 175
Riverside, CA 92501-4020

Call (951) 786-5550 Map

Fax (951) 788-6107

Mailing address

PO Box 743111
Atlanta, GA 30374-3111

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000XPA52354 (CA)

Physician Assistant: 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, orde…

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About NPI 1083686901

Genevieve A. Long, PA-C's National Provider Identifier is 1083686901, issued on Feb 3, 2006. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Riverside, CA. The record was last updated on Mar 17, 2026.