Ironstone Medical Clinic Inc

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

A106704 Issued in CA

Legal business name

IRONSTONE MEDICAL CLINIC INC

Practice address

4121 Brockton Ave Ste 104
Riverside, CA 92501-3442

Phone

(949) 355-4224

Fax

(951) 778-0051

NPI assigned

Sep 18, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Sean Ataee, M.D.NPI 1144363011

Title

C.F.O.

Phone

(949) 355-4226

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Networks

• BSC 65 PLUS INDIVIDUAL MAPDPlans: Blue Shield 65 Plus (HMO) (H0504-015-000, H0504); Blue Shield 65 Plus (HMO) (H0504-039-000, H0504); Blue Shield 65 Plus Plan 2 (HMO) (H0504-021-000, H0504); Blue Shield Inspire (HMO) (H0504-041-000, H0504); Blue Shield 65 Plus (HMO) (H0504-038-000, H0504); Blue Shield Inspire (HMO) (H0504-047-000, H0504); Blue Shield 65 Plus (HMO) (H0504-026-000, H0504); Blue Shield Advantage (HMO) (H0504-050-000, H0504); Blue Shield AdvantageOptimum Plan (HMO) (H5928-004-000, H5928); Blue Shield Inspire (HMO) (H0504-043-000, H0504)…

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Errajith Bertrand Ricardo Desilva, M.D.

  • Critical Care Medicine (Internal Medicine) Physician
  • Riverside, CA
  • NPI 1083712236
  Medicare reassignment NPD
• Balraj Singh Khehra, P.T.

  • Specialist
  • Hemet, CA
  • NPI 1821143264
  Medicare reassignment NPD
• Sean Ataee, M.D.

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Santa Ana, CA
  • NPI 1144363011
  NPD (past) Authorized official
• Mansour Tafreshi, D.C.

  • Chiropractor
  • Riverside, CA
  • NPI 1154439826
  NPD

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

{
    "created_epoch": "1190073600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317600000000",
    "number": "1851587448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4121 BROCKTON AVE STE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013442",
            "telephone_number": "949-355-4224",
            "fax_number": "951-778-0051"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4121 BROCKTON AVE STE 104",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925013442",
            "telephone_number": "949-355-4224",
            "fax_number": "951-778-0051"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONSTONE MEDICAL CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-18",
        "last_updated": "2011-10-03",
        "status": "A",
        "authorized_official_last_name": "ATAEE",
        "authorized_official_first_name": "SEAN",
        "authorized_official_title_or_position": "C.F.O.",
        "authorized_official_telephone_number": "949-355-4226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "CA",
            "license": "A106704",
            "primary": true
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "CA",
            "license": "A106704",
            "primary": false
        },
        {
            "code": "261QS1200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Sleep Disorder Diagnostic",
            "state": "CA",
            "license": "A106704",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terrence Christopher Ireland
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• Caren R. Ires, MD
• Eneri Iribe Perez, NONE
• Iris Davoodi Living Sober
• Iroquois Dialysis LLC (Park Sierra Home Training)
• Iroquois Dialysis LLC (Riverside PD Central)
• Gina Irvin
• Juanita Irvin
• Irwin Savodnik, M.D. & Medical Associates, Inc.

• General Practice Physician in Riverside, CA
• Providers in Riverside, CA by specialty
• General Practice Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.