Healthcare Provider Details

I. General information

NPI: 1073160958
Provider Name (Legal Business Name): LEAH RENEE GETZ PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LEAH GETZ PA-C

II. Dates (important events)

Enumeration Date: 08/24/2019
Last Update Date: 02/22/2026
Certification Date: 02/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8856 ARLINGTON AVE
RIVERSIDE CA
92503-1365
US

IV. Provider business mailing address

8856 ARLINGTON AVE
RIVERSIDE CA
92503-1365
US

V. Phone/Fax

Practice location:
  • Phone: 833-867-4642
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberPA60465
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code207VX0000X
TaxonomyObstetrics Physician
License Number60465
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: