Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Carly Marie Basirico Erard, PA

Individual provider Physician Assistant · NPI 1205087699

Mrs. Carly Marie Basirico Erard, PA is a Physician Assistant in Ontario, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2008
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

2295 S Vineyard Ave
Ontario, CA 91761-7925
Phone: (909) 724-3083
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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 PA19878 (CA)

Record details

NPI number1205087699
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorYes
NPI enumeratedOctober 4, 2008
Last updated in NPPESOctober 8, 2021
Certification dateOctober 8, 2021

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