Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Genevieve A Long, PA-C

Individual provider Physician Assistant · NPI 1083686901

Genevieve A Long, PA-C is a Physician Assistant in Riverside, California. Qualified in 1995, 31 years ago. Practices with Golden State Providers, a Medical Corporation, a 23-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
31
Licensed in
CA
In the registry since
2006
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

4510 Brockton Ave Ste 175
Riverside, CA 92501-4020
Phone: (951) 786-5550
Fax: (951) 788-6107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence PA52354 (CA)

Record details

NPI number1083686901
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorNo
NPI enumeratedFebruary 3, 2006
Last updated in NPPESMarch 17, 2026
Certification dateMarch 17, 2026

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Golden State Providers, A Medical Corporation — 23 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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