Genevieve A Long, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA52354 Issued in CA

Practice address

4510 Brockton Ave Ste 175
Riverside, CA 92501-4020

Phone

(951) 786-5550

Fax

(951) 788-6107

NPI assigned

Feb 3, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Genevieve A Harris Former name

Medicare fee-for-service enrollment

Enrolled in NC, CA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Golden State Providers, a Medical CorporationGroup PAC ID 7012212475, 23 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Riverside Community Hospital Hospital, Riverside, CA, CCN 050022

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: genevieve.long.p2@direct.mydohc.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Golden State Providers, a Medical Corporation

  • Multi-Specialty Clinic/Center
  • Moorpark, CA
  • NPI 1366859449
  Medicare reassignment Care Compare group NPD (past)
• Vidant Medical Group LLC

  • Multi-Specialty Clinic/Center
  • Greenville, NC
  • NPI 1477648731
  Medicare reassignment NPD
• Desert Medical Group, Inc.

  • Family Medicine Physician
  • Palm Springs, CA
  • NPI 1114918612
  Medicare reassignment
• Bowen Primary & Urgent Care PA

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1003956079
  Medicare reassignment
• Springs Road Consulting LLC

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1649623703
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Riverside Healthcare System, L.P.

  • General Acute Care Hospital
  • Riverside, CA
  • NPI 1114971660
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773705600000",
    "number": "1083686901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743111",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4510 BROCKTON AVE STE 175",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925014020",
            "telephone_number": "951-786-5550",
            "fax_number": "951-788-6107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LONG",
        "first_name": "GENEVIEVE",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2026-03-17",
        "certification_date": "2026-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA52354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GENEVIEVE",
            "last_name": "HARRIS",
            "middle_name": "A",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy Lomeli
• Joshua Lomeli, NONE
• Matthew Lomeli
• Cadence P Loney
• Kellie Loney, M.A.,BCBA
• Justin Long, D.C.
• Richard Long
• Sarah Longinow
• Theresa A Longo, MD
• Longs Drug Store #724/Network Pharmacy

• Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.