Dr. Jacob Stephen Porter
D.O. | Pediatrics | Male
Dr. Jacob Stephen Porter, D.O. is a Riverside, California based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Dr. Jacob Stephen Porter is
7117 Brockton Ave, Riverside, California - 92506-2658. He can be contacted on phone at
951-782-3685.
Dr. Jacob Stephen Porter is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. Jacob Stephen Porter is
1467727081 which was assigned by NPPES on 14 Mar, 2012 and it was last updated on 26 Feb, 2020.
Dr. Jacob Stephen Porter license number is
20A15727 for Pediatrics (208000000X) in California.
Dr. Jacob Stephen Porter is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Dr. Jacob Stephen Porter basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
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| Provider Name : | Dr. Jacob Stephen Porter |
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| Credential : | D.O. |
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| Gender : | Male |
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Business Address:
Dr. Jacob Stephen Porter address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 7117 Brockton Ave
Riverside, CA, 92506-2658
United States |
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| Phone Number : | 951-782-3685 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1467727081 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 14 Mar, 2012 |
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| Last Updated On : | 26 Feb, 2020 |
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Medicare Participation:
Dr. Jacob Stephen Porter participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 8628399490 |
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| Medicare Enrollment ID : | I20170816001066 |
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| Primary Specialty : | Pediatric Medicine |
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| Medical School : | Other |
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| Graduation Year : | 2012 |
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| Accepts Medicare? | Yes. Dr. Jacob Stephen Porter accepts medicare insurance. |
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Group Practice Association:
Dr. Jacob Stephen Porter is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. Jacob Stephen Porter is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Riverside Medical Clinic Inc | 2961492327 | 140 | 7117 Brockton Ave
Riverside, CA - 925062658
Ph: 9516836370 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jacob Stephen Porter are as mentioned. Primary taxonomy code for Dr. Jacob Stephen Porter, D.O. is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 207PP0204X | Emergency Medicine Pediatric Emergency Medicine | No | 5426 | OK |
| 208000000X | Pediatrics | No | 5426 | OK |
| 208000000X | Pediatrics | Yes | 20A15727 | CA |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 7117 Brockton Ave
Riverside, CA, 92506-2658
United States |
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| Phone Number : | 951-782-3685 |
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Business Location:
Patients can refer following map for directions to
Dr. Jacob Stephen Porter practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.