MICHAEL M ROSS (PA) – Medical Physician Assistant, NPI 1508820648

MICHAEL M ROSS (PA) is a healthcare provider. based in San dimas, California. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. PA13332 (CA). The NPI Number for MICHAEL M ROSS (PA) is 1508820648

Main info

Male
33 Years Of Experience
Accepts Medicare Assignment
Name
MICHAEL M ROSS (PA)
NPI
1508820648
Phone
(909) 592-9778
Address
1125 Via Verde
Enumeration Date
14 April 2006
Last Update Date
2 February 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6269674469
Graduation Year
1993 (33 years ago)
PAC ID
0345373817
Group Practice PAC ID
9830544980
Professional Enrollment ID
I20100804000540
Address ID
CA917231917CO315XXAVEX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience74
Completeness75
Years active:20State licenses:1Digital endpointsOther names

10,570 PHYSICIAN ASSISTANT in CA

Provider Addresses for MICHAEL M ROSS (PA)

  • 1125 Via Verde

    San Dimas, CA 917734400

    Phone: (909) 592-9778

    Fax: (909) 599-6126

    Type: Location

  • PO BOX 4039

    ORANGE, CA 928634039

    Phone: (714) 571-5000

    Fax: (714) 919-8836

    Type: Mailing

  • 315 N 3RD AVE STE 207

    COVINA, CA 917231917

    Phone: (626) 967-4469

    Fax: (626) 967-4889

    Type: Location

  • 420, West Rowland Street, Covina, Los Angeles County, California, 91723, United States

    COVINA, CA 917232943

    Phone: (626) 331-6411

    Fax: (626) 251-1560

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $221.

Total Amount is formed as General ($221) + Research ($0) + Ownership ($0) = $221.

Last reported payment date: 2023-10-12 • Largest payer in this snapshot: Lilly USA, LLC ($86).

Total Amount

$221

General + Research + Ownership

Payments

9

Total payment records

General Amount

$221

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-10-12

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2010-08-04

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20100804000540IPhysician AssistantCATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes10873$0
99213Established patient office or other outpatient visit, 20-29 minutes3231$0
99212Established patient office or other outpatient visit, 10-19 minutes1312$0
View full utilization report →

Insurance plans in this area (ZIP 91773)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9830544980View full group profile
NameSpecialtyState
Radiation OncologyMD
Family PracticeCA
Family PracticeCA
Physician AssistantCA
O B S T E T R I C S/ G Y N E C O L O G YCA
Physician AssistantCA
Family Practice, General PracticeCA
P O D I A T R YCA
Family PracticeCA
H E M A T O L O G Y/ O N C O L O G YCA

Reviews

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Frequently asked questions

What is the registry number for MICHAEL M ROSS (PA)?
The registry entry for MICHAEL M ROSS (PA) shows NPI 1508820648.
Should I treat MICHAEL M ROSS (PA) as an active provider?
Patients and plans typically see MICHAEL M ROSS (PA) as active in the national extract.
What services align with MICHAEL M ROSS (PA)'s listing?
MICHAEL M ROSS (PA)'s public classification highlights Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What geographic area is tied to MICHAEL M ROSS (PA)?
MICHAEL M ROSS (PA) is associated with San Dimas, California in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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