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

Robert Fontanilla, PA-C

Individual provider Physician Assistant · NPI 1184005258

Robert Fontanilla, PA-C is a Physician Assistant in Riverside, California. Qualified in 2015, 11 years ago. Practices with Dap Health Inc, a 66-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
11
Licensed in
CA
In the registry since
2015
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

1970 University Ave
Riverside, CA 92507-5202
Phone: (833) 867-4642
Fax: (360) 462-5825
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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 PA52552 (CA)

Record details

NPI number1184005258
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedJune 15, 2015
Last updated in NPPESDecember 11, 2024
Certification dateDecember 11, 2024
Mailing address1970 University Ave, Riverside, CA 92507-5202

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Dap Health Inc — 66 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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