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

Jared Robertson, PA-C

Individual provider Physician Assistant · NPI 1073918413

Jared Robertson, PA-C is a Physician Assistant in Riverside, California. Qualified in 2014, 12 years ago. Practices with Southern California Permanente Medical Group, an 11,242-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2014
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

10800 Magnolia Ave
Riverside, CA 92505-3043
Phone: (951) 353-2000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 22545 Barton Rd Ste 204, Grand Terrace, CA 92313-5265 — (951) 522-9142

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 52087 (CA)

Record details

NPI number1073918413
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 28, 2014
Last updated in NPPESJune 29, 2026
Certification dateJune 29, 2026
Mailing address10800 Magnolia Ave, Riverside, CA 92505-3043

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Southern California Permanente Medical Group — 11242 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Riverside