Kathryn Rachel Porter, PA-C - Pediatrics in Riverside, CA

Kathryn Rachel Porter, PA-C is a Pediatrics physician based in Riverside, California. Kathryn Rachel Porter is licensed to practice in California (license number 57353) and her current practice location is 6926 Brockton Ave, Riverside, California. She can be reached at her office (for appointments etc.) via phone at (616) 826-9762.

NPI number for Kathryn Rachel Porter is 1730723677 and her current mailing address is 6926 Brockton Ave, Riverside, California. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1730723677.

Contact Information

Kathryn Rachel Porter, PA-C
6926 Brockton Ave,
Riverside, CA 92506-3800
(616) 826-9762
Not Available

Map and Direction




Physician's Profile

Full NameKathryn Rachel Porter
GenderFemale
SpecialityPediatrics
Location6926 Brockton Ave, Riverside, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1730723677
  • Provider Enumeration Date: 11/04/2019
  • Last Update Date: 11/04/2019

Medical Identifiers

Medical identifiers for Kathryn Rachel Porter such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1730723677NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 57353 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathryn Rachel Porter is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathryn Rachel Porter, PA-C
6926 Brockton Ave,
Riverside, CA 92506-3800

Ph: () -
Kathryn Rachel Porter, PA-C
6926 Brockton Ave,
Riverside, CA 92506-3800

Ph: (616) 826-9762

Reviews and Comments


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Clark Larkin Gifford, MD
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Phone: 951-782-3685    Fax: 951-784-3256

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