Active NPI
Ian Pope, PA-C
- Physician Assistant
- Riverside, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA65176
- Practice address
- 4445 Magnolia Ave
Riverside, CA 92501-4135 - Phone
- (951) 338-4910
- NPI assigned
- Oct 7, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA65176 | CA | Primary |
Addresses
Primary practice location
4445 Magnolia Ave
Riverside, CA 92501-4135
Mailing address
5177 Palisade Cir
Riverside, CA 92506-1553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1181 S Mount Vernon Ave
Colton, CA 92324-4208
Phone (909) 639-8800
1295 Hamner Ave
Suite C
Norco, CA 92860-3161
Phone (951) 272-6500
18876 Van Buren Blvd
Suite 101
Riverside, CA 92508-9114
Phone (951) 429-6003
27640 Eucalyptus Ave
Moreno Valley, CA 92555-4557
Phone (951) 243-2200
301 W Redlands Blvd
Redlands, CA 92373-4633
Phone (909) 335-1900
33494 Oak Glen Rd
Yucaipa, CA 92399-2057
Phone (909) 797-8900
3480 La Sierra Ave
Suite B
Riverside, CA 92503-5204
Phone (951) 588-8901
9710 Brimhall Rd
Bakersfield, CA 93312-2779
Phone (661) 829-6747
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA65176 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southern California Emergency Medicine | Current | Accepting new patients | |
| Southern California Emergency Medicine | Current | Accepting new patients |
Locations
1407 Foothill Blvd
La Verne, CA 91750
Phone (909) 596-3577
1295 Hamner Ave
Ste C
Norco, CA 92860
Phone (951) 272-6500
33494 Oak Glen Rd
Yucaipa, CA 92399
Phone (909) 797-8900
Organizations & group practices 5
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.
-
dba Accelerated Urgent Care
- Urgent Care Clinic/Center
- Bakersfield, CA
- NPI 1689963845
-
- Urgent Care Clinic/Center
- San Bernardino, CA
- NPI 1639314255
-
- Vascular & Interventional Radiology Physician
- Riverside, CA
- NPI 1417315300
-
dba Riverside Urgent Care La Sierra
- Urgent Care Clinic/Center
- Riverside, CA
- NPI 1063191575
-
dba Norco Urgent Care Center
- Urgent Care Clinic/Center
- Norco, CA
- NPI 1255701249
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728259200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1728259200000",
"number": "1356160493",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5177 PALISADE CIR",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925061553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4445 MAGNOLIA AVE",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925014135",
"telephone_number": "951-338-4910"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPE",
"first_name": "IAN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-10-07",
"last_updated": "2024-10-07",
"certification_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA65176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.