IRONSTONE MEDICAL CLINIC INC
NPI 1851587448
General Practice in Riverside, CA

Q: What is Ironstone Medical Clinic Inc's NPI number?

The NPI number for Ironstone Medical Clinic Inc is 1851587448. It was assigned to this organization in the NPPES registry on September 18, 2007.

Q: What is Ironstone Medical Clinic Inc's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Active since September 18, 2007CLIA 05D1084366 · Waiver

4121 BROCKTON AVE STE 104, RIVERSIDE, CA 92501(949) 355-4224(951) 778-0051 Get Directions Write a Review

NPPES record last updated: October 3, 2011. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Ironstone Medical Clinic Inc NPPES

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

IRONSTONE MEDICAL CLINIC INC (NPI 1851587448) is a healthcare organization registered as a general practice in Riverside, California and active in the NPI registry since September 2007. The organization holds a CLIA Waiver certificate valid through May 20, 2028 and lists Sean Ataee, C.f.o., as its authorized official.

NPPES Registry Identity

NPI1851587448

Entity TypeOrganization

Primary Taxonomy208D00000X

Legal Business NameIRONSTONE MEDICAL CLINIC INC

Location Address4121 BROCKTON AVE STE 104Riverside, CA 92501-3442

Mailing Address4121 Brockton Ave Ste 104Riverside, CA 92501-3442 · (949) 355-4224 · Fax (951) 778-0051

Phone(949) 355-4224

Fax(951) 778-0051

Organization SubpartNo

Authorized OfficialSean AtaeeC.f.o. · (949) 355-4226

Enumeration DateSeptember 18, 2007

Last NPPES UpdateOctober 3, 2011

✔ NPI 1851587448 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians

Taxonomy Code208D00000X

License✔ Licensed in CA · A106704

Definition

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee

Also ListedClinic/Center · Multi-SpecialtyTaxonomy 261QM1300X · License A106704 (CA)

Also ListedClinic/Center · Sleep Disorder DiagnosticTaxonomy 261QS1200X · License A106704 (CA)

4121 BROCKTON AVE STE 104, Riverside, CA 92501

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CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D1084366

Ironstone Medical Clinic Inc · Riverside, CA

Active · expires May 20, 2028

CLIA Number05D1084366

Laboratory TypePhysician Office

Certificate Effective DateMay 21, 2026

Certificate Expiration DateMay 20, 2028

Laboratory DirectorE Bertrand De Silva

Laboratory Phone(949) 355-4226

Laboratory LocationIronstone Medical Clinic Inc4121 Brockton Ave, Ste 104, Riverside, CA 92501

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

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

EMERALD ISLE MEDICAL GROUP INC

Internal Medicine (Sleep Medicine)