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

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: October 25, 2026.

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

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, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Robert Ireland reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
5.5 mi
Health Maintenance Organization
4760 W SUNSET BLVD
Los Angeles, CA 90027
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1134151657 (323) 783-4011

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
KSHEERAJA RAVI MD
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
ARI HAROUT NAZARIAN
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
REID GOODMAN
Internal Medicine (Infectious Disease)
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
JENNIFER DORCAS HWANG MD
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
PHILLIP ABARCA
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
IRENE CHANG
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556
GAL SEAN SADLIK
Student in an Organized Health Care Education/Training Program
1200 N STATE STREET CLINIC TOWER, SUITE A7D
LOS ANGELES, CA 90033
Los Angeles County (323) 409-7556

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Robert Ireland located?

Robert Ireland practices at 1200 N State Street Clinic Tower Suite A7d, Los Angeles, CA 90033. The listed phone number is (323) 409-7556.

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.

Is Robert Ireland enrolled in Medicare?

Yes. Robert Ireland is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Robert Ireland's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Robert Ireland reassigns Medicare benefits to Southern California Permanente Medical Group (Los Angeles, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Robert Ireland's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 21 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.