Active NPI
Iresha Linda Cioco, PMHNP
- Psychiatry Physician
- Fontana, CA
National Provider Identifier
1750176095
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 95034016
- Practice address
- 15106 Fox Ridge Dr
Fontana, CA 92336-0205 - Phone
- (650) 703-3000
- NPI assigned
- Apr 9, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 95034016 | CA | Primary |
Addresses
Primary practice location
15106 Fox Ridge Dr
Fontana, CA 92336-0205
Mailing address
15106 Fox Ridge Dr
Fontana, CA 92336-0205
Phone (650) 703-3000
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
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3634 Elizabeth St
Riverside, CA 92506-2506
Phone (951) 788-0008
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 95034016 | CA | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optima Health Corp | Multi-Specialty | Current | Accepting new patients |
Locations
3634 Elizabeth St
Riverside, CA 92506
Phone (951) 341-8930
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GEGFAD
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1744156800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744156800000",
"number": "1750176095",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15106 FOX RIDGE DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360205",
"telephone_number": "650-703-3000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15106 FOX RIDGE DR",
"city": "FONTANA",
"state": "CA",
"postal_code": "923360205",
"telephone_number": "650-703-3000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CIOCO",
"first_name": "IRESHA",
"middle_name": "LINDA",
"credential": "PMHNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-09",
"last_updated": "2025-04-09",
"certification_date": "2025-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "CA",
"license": "95034016",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fontana, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2025; 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.