Individual provider Active NPI

Aarika Bernice Pardino, PA

  • Medical Physician Assistant
  • Torrance, CA
National Provider Identifier
1639331267
Registry record updated Jul 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA21509 Issued in CA
Practice address
1820 W Carson St # 202-319
Torrance, CA 90501-2858
Phone
(424) 341-3427
Fax
(310) 602-6584
NPI assigned
Jun 25, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 25MP00199100 NJ
Medical Physician Assistant 363AM0700X PA.200345 LA
Medical Physician Assistant 363AM0700X PA21509 CA Primary
Physician Assistant 363A00000X 013257 NY

Addresses

Primary practice location

1820 W Carson St # 202-319
Torrance, CA 90501-2858

Mailing address

1820 W Carson St # 202-319
Torrance, CA 90501-2858
Phone (424) 341-3427

Other identifiers 3

IdentifierTypeStateIssuer
00504079MedicaidMS
2128612MedicaidLA
57061PD65OtherLAMEDICARE

Other names 1

  • Aarika Kirkendoll Former name

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
I20170123001655 CA Practitioner - Physician Assistant 9436225190 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21509CAMDPediatric Occupational Therapist
013257NYMDPhysician Assistant
PA21509CAMDMedical Physician Assistant
PA.200345LAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Professional Services of New Jersey, P.a. Physician Assistant Past Accepting new patients
Emergency Medical Consultants of South Jersey LLC Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721779200000",
    "number": "1639331267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 W CARSON ST # 202-319",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012858",
            "telephone_number": "424-341-3427",
            "fax_number": "310-602-6584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 W CARSON ST # 202-319",
            "city": "TORRANCE",
            "state": "CA",
            "postal_code": "905012858",
            "telephone_number": "424-341-3427",
            "fax_number": "310-602-6584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARDINO",
        "first_name": "AARIKA",
        "middle_name": "BERNICE",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-25",
        "last_updated": "2024-07-24",
        "certification_date": "2024-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NJ",
            "license": "25MP00199100",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "LA",
            "license": "PA.200345",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "CA",
            "license": "PA21509",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "013257",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00504079",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2128612",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "57061PD65",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AARIKA",
            "last_name": "KIRKENDOLL",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Torrance, CA

Sources for this page

Verify at the official NPI Registry.