Individual provider · Type 1 NPI

Roseanne Garrison, PA-C

Medical Physician Assistant · Riverside, CA

NPI number 1154409654 Active

Practice location

4022 Chicago Ave
Riverside, CA 92507-5340

Call (855) 505-7467 Map

Fax (888) 975-8926

Mailing address

495 E Rincon St Ste 215
Corona, CA 92879-1378

Other practice locations

  • 13925 Indian St, Moreno Valley, CA 92553-5718 · (855) 505-7467

Specialties and licenses

TaxonomyCodeLicense
Medical Physician Assistant Primary 363AM0700X13823 (CA)

Medical Physician Assistant: Definition to come...

3 other providers at this address

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About NPI 1154409654

Roseanne Garrison, PA-C's National Provider Identifier is 1154409654, issued on Nov 1, 2006. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Riverside, CA. The record was last updated on Jan 15, 2026.