Ian William Kirby, FNP

Primary specialty

Adult Health Nurse PractitionerTaxonomy code 363LA2200X

License

95010787 Issued in CA

Practice address

22675 Alessandro Blvd
Moreno Valley, CA 92553-8551

Phone

(951) 571-2300

NPI assigned

Jan 29, 2019

Last updated

Apr 20, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CA, NY2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: iannp.kirby.p1@direct.chsica.nextgenshare.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Circle Medical Care of California

  • Family Medicine Physician
  • San Francisco, CA
  • NPI 1134596091
  Medicare reassignment NPD
• Circle Medical Care of New York PC

  • Family Medicine Physician
  • New York, NY
  • NPI 1780425447
  Medicare reassignment NPD
• Community Health Systems, Inc.

  dba Inland Empire Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
  • NPI 1952308009
  Medicare reassignment
• Community Health Systems, Inc.

  dba Bloomington Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Bloomington, CA
  • NPI 1487706347
  NPD

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

{
    "created_epoch": "1548720000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1639633084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22675 ALESSANDRO BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538551",
            "telephone_number": "951-571-2300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22675 ALESSANDRO BLVD",
            "city": "MORENO VALLEY",
            "state": "CA",
            "postal_code": "925538551",
            "telephone_number": "951-571-2300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "65 W 36th St Fl 11",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100187936",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "fax_number": "888-803-3331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "333 1st St Ste A",
            "address_purpose": "LOCATION",
            "city": "San Francisco",
            "state": "CA",
            "postal_code": "941052661",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 N Crescent Dr Ste 320",
            "address_purpose": "LOCATION",
            "city": "Beverly Hills",
            "state": "CA",
            "postal_code": "902106813",
            "country_code": "US",
            "telephone_number": "888-803-3370",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KIRBY",
        "first_name": "IAN",
        "middle_name": "WILLIAM",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-29",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "NY",
            "license": "351409",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "351409",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "CA",
            "license": "95010787",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "CA",
            "license": "95010787",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carolette Yvonne King
• Jordan King
• Stanley King
• Kingdom Care Transportation
• Charla Elaine Kingsley, RN INP
• Jessica Kirk, AMFT
• Kamarya Kisling
• Walter Franklin Klein II, M.D.
• Knight Rider Transport Inc
• Eric Wayne Ku'Ulei Knighten, APCC

• Adult Health Nurse Practitioner in Moreno Valley, CA
• Providers in Moreno Valley, CA by specialty
• Adult Health Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.