Dr. Jacob Stephen Porter
Pediatrician Pediatric Emergency Physician
7117 Brockton Ave
Riverside
, California 92506-2658
Dr. Jacob Stephen Porter
Pediatrician Pediatric Emergency Physician
7117 Brockton Ave
Riverside
, California 92506-2658
(951) 782-3685
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About
Features
Specialties
- Pediatric Emergency Physician
- Pediatrician
Languages spoken
- English
Location
First Address
- Dr. Jacob Stephen Porter
- 7117 Brockton Ave
- Riverside, CA
- Zip : 92506-2658
- Phone : (951) 782-3685
Second Address
- Dr. Jacob Stephen Porter
- 7117 Brockton Ave
- Riverside, CA
- Zip : 92506-2658
- Phone : (951) 782-3685
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Is Dr. Jacob Stephen Porter accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 207PP0204X | Pediatric Emergency Physician | 5426 | OK |
| Y | 208000000X | Pediatrician | 20A15727 | CA |
| N | 208000000X | Pediatrician | 5426 | OK |
National Provider Identifier
| NPI | 1467727081 |
|---|---|
| Provider Name | Dr. Jacob Stephen Porter |
| First Address | Riverside, CA 92506-2658 |
| Second Address | Riverside, CA 92506-2658 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 14/03/2012 |
| Last Update Date | 26/02/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.