KATHLEEN ROSE DEPONTE PA
NPI 1205478450
Physician Assistant - Medical in Riverside, CA
About Kathleen Rose Deponte Pa NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KATHLEEN ROSE DEPONTE PA (NPI 1205478450) is an individual medical provider in Riverside, California, licensed in California (57510) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS and maintains a secondary practice location in Orange.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kathleen Rose Deponte Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RIVERSIDE, CA 92504
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 Kathleen Deponte's NPI number?
The NPI number for Kathleen Deponte is 1205478450. It was assigned to this individual provider in the NPPES registry on October 9, 2019.
Where is Kathleen Deponte located?
Kathleen Deponte practices at 7172 Magnolia Ave, Riverside, CA 92504. The listed phone number is (480) 301-8000.
What is Kathleen Deponte's specialty?
The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.
Is Kathleen Deponte enrolled in Medicare?
Yes. Kathleen Deponte is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kathleen Deponte was last updated on August 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 days 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.
# Kathleen Rose Deponte, PA · NPI 1205478450
Medical physician in Riverside, California. Individual provider, active in the CMS NPPES registry since October 9, 2019.
## Identity
- **NPI:** 1205478450 (Entity type: Individual)
- **Enumerated:** October 9, 2019
- **Primary specialty:** Physician Assistant - Medical · taxonomy 363AM0700X
- **State license:** 57510 (California)
- **Sole proprietor:** No
## Practice location
- **Address:** 7172 MAGNOLIA AVE, Riverside, CA 92504-3804
- **Phone:** (480) 301-8000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** August 13, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1205478450) · Data from the CMS NPPES public registry.