ROBERT STEPHEN IRELAND
NPI 1114495306
Student in an Organized Health Care Education/Training Program in Los Angeles, CA

Q: What is Robert Ireland's NPI number?

The NPI number for Robert Ireland is 1114495306. It was assigned to this individual provider in the NPPES registry on November 6, 2018.

Q: What is Robert Ireland's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Robert Ireland was last updated on January 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since November 06, 2018PECOS Enrolled

1200 N STATE STREET CLINIC TOWER, SUITE A7D, LOS ANGELES, CA 90033(323) 409-7556 Get Directions Write a Review

NPPES record last updated: January 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 3, 2025, May 24, 2021, Apr 14, 2021 and 1 more (4 updates tracked since 2018).

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About Robert Stephen Ireland NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROBERT STEPHEN IRELAND (NPI 1114495306) is an individual student in an organized health care education/training program in Los Angeles, California and active in the NPI registry since November 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1114495306

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameROBERT STEPHEN IRELAND

Location Address1200 N STATE STREET CLINIC TOWER, SUITE A7DLos Angeles, CA 90033-1029

Mailing Address1200 N State Street Clinic Tower, Suite A7dLos Angeles, CA 90033-1029 · (323) 409-7556

Phone(323) 409-7556

Sole ProprietorNo

Enumeration DateNovember 6, 2018

Last NPPES UpdateJanuary 3, 20254 updates tracked since enumeration

NPPES CertifiedApril 23, 2021

✔ NPI 1114495306 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

1200 N STATE STREET CLINIC TOWER, Los Angeles, CA 90033

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Robert Stephen Ireland is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDA HUANG

Student in an Organized Health Care Education/Training Program