Healthcare Provider Details

I. General information

NPI: 1184719460
Provider Name (Legal Business Name): JASPREET K RIAR PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/04/2006
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1107 O ST
FIREBAUGH CA
93622-2224
US

IV. Provider business mailing address

1107 O ST
FIREBAUGH CA
93622-2224
US

V. Phone/Fax

Practice location:
  • Phone: 559-659-9000
  • Fax: 559-659-9017
Mailing address:
  • Phone: 559-659-9000
  • Fax: 559-659-9017

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number18512
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: