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KATHLEEN ROSE DEPONTE PA
NPI 1205478450
Physician Assistant in Riverside, CA

Active since October 09, 2019PECOS Enrolled
78.58/100
CMS Quality Rating
7172 MAGNOLIA AVE, RIVERSIDE, CA 92504(480) 301-8000 Get Directions Write a Review

NPPES record last updated: October 22, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 26, 2025, May 8, 2024, Apr 29, 2021 and 3 more (6 updates tracked since 2019).

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 physician assistant in Riverside, California, licensed in Arizona (7650) and active in the NPI registry since October 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1205478450
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameKATHLEEN ROSE DEPONTECredential: PA
Location Address7172 MAGNOLIA AVERiverside, CA 92504-3804
Mailing Address7172 Magnolia AveRiverside, CA 92504-3804
Phone(480) 301-8000
Sole ProprietorNo
Enumeration DateOctober 9, 2019
Last NPPES UpdateOctober 22, 20256 updates tracked since enumeration
NPPES CertifiedOctober 22, 2025
✔ NPI 1205478450 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in AZ · 7650
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedPhysician Assistant · MedicalTaxonomy 363AM0700X · License 57510 (CA), 7650 (AZ)
7172 MAGNOLIA AVE, Riverside, CA 92504
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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)

Kathleen Rose Deponte Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92504 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$91.88 typical visit price
range $59.60 – $179.42
Typical copayment $22.97 (range $14.90 – $44.85)
Most-billed visit code 99203
Established Patient
$74.08 typical visit price
range $19.37 – $146.42
Typical copayment $18.52 (range $4.84 – $36.60)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

78.58/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.05
Promoting Interoperability100
Improvement Activities40
Cost59.56

Other Providers at the Same Location NPPES 9

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

JODI N MWENDIA PA-C
Physician Assistant
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
AZURE MEDICAL PC
Internal Medicine (Rheumatology)
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
MR. WASEEM N IBRAHIM M.D.
Psychiatry & Neurology (Neurology)
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
BANGARUSWAMY V KUMAR MD
Psychiatry & Neurology (Neurology)
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
RIVERSIDE NEUROLOGY INC
Specialist
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
NAZIMUDDIN ACHICZY PA-C
Physician Assistant
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
MISS ANGELIQUE EMILY RAMIREZ PA-C
Physician Assistant (Medical)
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224
GINA HABEEB
Physician Assistant (Surgical)
7172 MAGNOLIA AVE
RIVERSIDE, CA 92504
Riverside County (951) 788-2224

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 with taxonomy code 363A00000X.

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 October 22, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.