GENEVIEVE A LONG (PA-C) – Physician Assistant, NPI 1083686901
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for GENEVIEVE A LONG (PA-C)
4510 BROCKTON AVE STE 365
RIVERSIDE, CA 925014020
Phone: (844) 827-8000
Fax: (951) 403-2803
Type: Mailing
PO BOX 743111
ATLANTA, GA 303743111
Phone:
Type: Mailing
4510 BROCKTON AVE STE 175
RIVERSIDE, CA 925014020
Phone: (951) 786-5550
Fax: (951) 788-6107
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $257.
Total Amount is formed as General ($257) + Research ($0) + Ownership ($0) = $257.
Last reported payment date: 2024-12-02 • Largest payer in this snapshot: Novartis Pharmaceuticals Corporation ($51).
Total Amount
$257
General + Research + Ownership
Payments
13
Total payment records
General Amount
$257
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-02
Latest reported date
Top Companies
Largest payers in this snapshot
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2018-01-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150923000176 | I | Physician Assistant | NC | TBD |
| I20180103002235 | I | Physician Assistant | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92501)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| Internal Medicine | CA | |
| Clinical Social Worker | CA | |
| Internal Medicine | IL | |
| - | CA | |
| P S Y C H I A T R Y | TN | |
| Family Practice | CA | |
| Family Practice | CA | |
| - | TX | |
| P S Y C H I A T R Y | CA |
Reviews
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