Provider Demographics
NPI:1639331267
Name:PARDINO, AARIKA BERNICE (PA)
Entity type:Individual
Prefix:MS
First Name:AARIKA
Middle Name:BERNICE
Last Name:PARDINO
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:AARIKA
Other - Middle Name:
Other - Last Name:KIRKENDOLL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:1820 W CARSON ST # 202-319
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90501-2858
Mailing Address - Country:US
Mailing Address - Phone:424-341-3427
Mailing Address - Fax:310-602-6584
Practice Address - Street 1:1820 W CARSON ST # 202-319
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90501-2858
Practice Address - Country:US
Practice Address - Phone:424-341-3427
Practice Address - Fax:310-602-6584
Is Sole Proprietor?:No
Enumeration Date:2008-06-25
Last Update Date:2024-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MP00199100363AM0700X
LAPA.200345363AM0700X
CAPA21509363AM0700X
NY013257363A00000X, 363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS00504079Medicaid
LA2128612Medicaid
LA57061PD65OtherMEDICARE
LA2128612Medicaid