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

Michael M Ross, PA

Individual provider Physician Assistant · NPI 1508820648

Michael M Ross, PA is a Physician Assistant in Covina, California. Qualified in 1993, 33 years ago. Practices with Emanate Health Medical Care Foundation, a 83-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in California.

Years since qualifying
33
Licensed in
CA
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

315 N 3rd Ave Ste 207
Covina, CA 91723-1917
Phone: (626) 967-4469
Fax: (626) 967-4889
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1125 Via Verde, San Dimas, CA 91773-4400 — (909) 592-9778

Specialties & licences

Medical Physician Assistant (primary) Taxonomy 363AM0700X · Licence PA13332 (CA)
Physician Assistant Taxonomy 363A00000X · Licence PA13332 (CA)
Surgical Physician Assistant Taxonomy 363AS0400X · Licence PA13332 (CA)

Record details

NPI number1508820648
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedApril 14, 2006
Last updated in NPPESFebruary 2, 2024
Certification dateFebruary 2, 2024
Mailing addressPo Box 4039, Orange, CA 92863-4039

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 1993 (33 years in practice)
Group practice Emanate Health Medical Care Foundation — 83 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services
Practice locations3 on file with Medicare

Other providers in Covina