Individual provider · Type 1 NPI

Kathleen Rose Deponte, PA

Medical Physician Assistant · Riverside, CA

NPI number 1205478450 Active

Practice location

7172 Magnolia Ave
Riverside, CA 92504-3804

Call (480) 301-8000 Map

Other practice locations

  • 101 The City Dr S, Orange, CA 92868-3201 · (714) 456-8888

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X7650 (AZ)
Medical Physician Assistant Primary 363AM0700X57510 (CA)
Medical Physician Assistant 363AM0700X7650 (AZ)

Medical Physician Assistant: Definition to come...

10 other providers at this address

Other medical physician assistant providers in Riverside

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About NPI 1205478450

Kathleen Rose Deponte, PA's National Provider Identifier is 1205478450, issued on Oct 9, 2019. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Riverside, CA. The record was last updated on Aug 13, 2026.