Individual provider Active NPI

Roseanne Garrison, PA-C

  • Medical Physician Assistant
  • Riverside, CA
National Provider Identifier
1154409654
Registry record updated Jan 15, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
13823 Issued in CA
Practice address
4022 Chicago Ave
Riverside, CA 92507-5340
Phone
(855) 505-7467
Fax
(888) 975-8926
NPI assigned
Nov 1, 2006
Last updated
Jan 15, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 13823 CA Primary

Addresses

Primary practice location

4022 Chicago Ave
Riverside, CA 92507-5340

Mailing address

495 E Rincon St Ste 215
Corona, CA 92879-1378
Phone (951) 523-0117

Other practice location 1

13925 Indian St
Moreno Valley, CA 92553-5718
Phone (855) 505-7467

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050615000272 CA Practitioner - Physician Assistant 1557305190 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Southern California Keck School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

13925 Indian St
Moreno Valley, CA 92553-5718
Phone (855) 505-7467

4022 Chicago Ave
Riverside, CA 92507-5340
Phone (855) 505-7467

9939 Magnolia Ave
Riverside, CA 92503-3528
Phone (855) 505-7467

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
13823CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Javier Rios, a Medical Corporation CurrentSince Dec 16, 2025 Accepting new patients
Alessandro Medical Professional Corporation CurrentSince Dec 16, 2025 Accepting new patients
Dr. Javier Rios a Medical Corporation CurrentSince Dec 16, 2025 Accepting new patients
Alessandro Medical Professional Corporation CurrentSince Dec 16, 2025 Accepting new patients
Montclair Medical Professional Corporation CurrentSince Dec 16, 2025 Accepting new patients
Dr. Javier Rios, a Medical Corporation Past Accepting new patients
Javier R Rios MD, a Professional Corporation Past Accepting new patients
Dr. Javier Rios, a Medical Corporation Past Accepting new patients
Dr. Javier Rios a Medical Corporation Past Accepting new patients

Locations

1530 W 6th St
Ste 109
Corona, CA 92882
Phone (951) 279-2171

495 E Rincon St
Ste 215
Corona, CA 92879

82935 Avenue 48
#101
Indio, CA 92201

82935 Avenue 48
Ste 101
Indio, CA 92201

141 N Main St
Lake Elsinore, CA 92530
Phone (951) 245-5003

9675 Monte Vista Ave
Ste C
Montclair, CA 91763
Phone (855) 745-8600

13925 Indian St
Moreno Valley, CA 92553
Phone (213) 537-2927

49867 29 Palms Hwy
Morongo Valley, CA 92256

21091 Rider St
Ste 218
Perris, CA 92570
Phone (951) 354-2229

27625 Jefferson Ave
Ste 101
Temecula, CA 92590
Phone (951) 506-5768

Organizations & group practices 9

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

NPI Registry JSON

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

{
    "created_epoch": "1162339200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768435200000",
    "number": "1154409654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 E RINCON ST STE 215",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928791378",
            "telephone_number": "951-523-0117",
            "fax_number": "951-394-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 CHICAGO AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925075340",
            "telephone_number": "855-505-7467",
            "fax_number": "888-975-8926"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "13925 Indian St",
            "address_purpose": "LOCATION",
            "city": "Moreno Valley",
            "state": "CA",
            "postal_code": "925535718",
            "country_code": "US",
            "telephone_number": "855-505-7467",
            "fax_number": "888-975-8926",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GARRISON",
        "first_name": "ROSEANNE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-01",
        "last_updated": "2026-01-15",
        "certification_date": "2026-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "13823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverside, CA

Sources for this page

Verify at the official NPI Registry.