Alicia Iglesias, MS, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA20551 Issued in CA

Practice address

9939 Magnolia Ave
Riverside, CA 92503-3528

Phone

(951) 687-8802

Fax

(951) 687-2250

NPI assigned

Jan 29, 2010

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

Practice roles

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.

• Javier R. Rios MD a Professional Corporation

  • Family Medicine Physician
  • Riverside, CA
  • NPI 1841023801
  NPD (past)

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

{
    "created_epoch": "1264723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278547200000",
    "number": "1225369333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3301 W THORNTON AVE",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928044714",
            "telephone_number": "714-270-4712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9939 MAGNOLIA AVE",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925033528",
            "telephone_number": "951-687-8802",
            "fax_number": "951-687-2250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "IGLESIAS",
        "first_name": "ALICIA",
        "credential": "MS, PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-29",
        "last_updated": "2010-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA20551",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL GROUP",
            "identifier": "GR0083640-GR0083641",
            "state": "CA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP",
            "identifier": "ZZZ19972Z-ZZZ20075Z",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angie Idarraga Baquero
• Ie Interventional LLC
• Iecmg Inc
• Syed Fahad Iftikhar, M.D.
• Bridget Igbako
• Fatima Lizbet Ignacio
• Angela Igrisan, LCSW
• Sarah Beth Ikeda
• Joanna Jacqueline Ikenasio
• Yeneochia Ikhelowa, MPH, MBA, CPCO

• Physician Assistant in Riverside, CA
• Providers in Riverside, CA by specialty
• Physician Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.