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Dr. Jacob Stephen Porter , DO

Pediatrics • Riverside, CA

Active NPI 1467727081 Individual Practitioner Male Practitioner
Practice location in NPPES

7117 Brockton Ave
Riverside, CA 925062658

Call 9517823685 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

7117 Brockton Ave

Riverside, CA 925062658

Telephone 9517823685
Fax 9517843256
Organization at the Same NPPES Address or Phone
Riverside Medical Clinic, Inc Facility NPI 1730180415

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Open Payments general payments, program year 2025

All general payments: $81.09 across 3 records.

By nature of payment

  • Food and Beverage: $81.09 across 3 records.

Reporting-company totals

  • GlaxoSmithKline, LLC.: $60.27 across 2 records.
  • Sanofi Pasteur Inc.: $20.82 across 1 record.

A reported payment does not necessarily mean the financial relationship is improper and is not a measure of care quality. Clinicians can review and dispute these records.

See the full table

Source: Calculated by T-MedInfo from CMS Open Payments general-payment records for program year 2025 (published June 30, 2026).

Guide: How to read an Open Payments record

NPI first issued

2012

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Medicare assignment not listed

CMS data do not show whether this clinician accepts Medicare assignment. This does not mean they do not accept Medicare. Ask the office.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, “Does your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dr. Porter has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dr. Porter as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in Riverside and California

89 active clinicians are listed under Pediatrics with a practice address in Riverside, CA (9,280 in California).

Addresses are self-reported to NPPES and may be out of date.

Telehealth indicator in Riverside

0% of these 89 clinicians have the CMS telehealth indicator.

4.5% of these 89 clinicians are listed by CMS as accepting Medicare assignment.

Sources: CMS Open Payments (2025), CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo · Report an error.

Pharma & Medical Device Financial Disclosures

Payments and other transfers of value that drug and medical device companies reported to CMS Open Payments

Open Payments · Program Year 2025
Disclosure Year:

Program year 2025 (payments made January 1 – December 31, 2025): fewer than 11 records totaling $81.09.

Manufacturer Payment Nature Product Type Amount ($)
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
NUCALA General $32.55
GlaxoSmithKline, LLC.
Food and Beverage
In-kind items and services
BEXSERO General $27.72
Sanofi Pasteur Inc.
Food and Beverage
In-kind items and services
BEYFORTUS General $20.82

Source: CMS Open Payments, program year 2025, released June 30, 2026.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2025-04-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

License # reported to NPPES CA 20A15727

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Emergency Medicine - Pediatric Emergency Medicine

NUCC Taxonomy Code: 207PP0204X

License # reported to NPPES OK 5426

Pediatric Emergency Medicine is a clinical subspecialty that focuses on the care of the acutely ill or injured child in the setting of an emergency department.

Pediatrics

NUCC Taxonomy Code: 208000000X

License # reported to NPPES OK 5426

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: Medical Board of California.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PEDIATRIC MEDICINE

Medicare Enrollment ID

I20170816001066

Enrollment State Jurisdiction

CA

PECOS Control ID

8628399490

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

1 listed
NPI 1407838220

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

12 Historical Events
📍
Updated Business Mailing Address February 26, 2020

Registered at 7117 BROCKTON AVE, RIVERSIDE, CA 925062658 (Tel: 9517823685)

âś…
NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location November 15, 2017

Registered at 7117 BROCKTON AVE, RIVERSIDE, CA 925062658 (Tel: 9517823685)

📍
Updated Business Mailing Address November 15, 2017

Registered at 4719 SOUTH 175 EAST AVE, TULSA, OK 74134 (Tel: 9185009661)

👤
Provider Name / Credentials Updated November 15, 2017

Recorded as JACOB PORTER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Emergency Medicine (license number reported to NPPES: OK 5426)

âś…
NPI Profile Active August 26, 2015

NPI status registered as active in NPPES database

📍
Practice Location (Initial Record) August 26, 2015

Registered at 744 W 9TH ST, TULSA, OK 741279020 (Tel: 9185995952)

📍
Business Mailing Address (Initial Record) August 26, 2015

Registered at 4719 SOUTH 175 EAST AVE, TULSA, OK 74134 (Tel: 9185009661)

👤
Provider Name / Credentials (Initial Record) August 26, 2015

Recorded as JACOB PORTER, D.O.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 26, 2015

Emergency Medicine (license number reported to NPPES: OK 5426)

🟢
Initial NPI Registration & Enumeration March 14, 2012

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1467727081
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 14, 2012
Last Update: April 14, 2025
Sole Proprietor: No

Other Pediatrics Specialists in Riverside

All Pediatrics Specialists in Riverside

Mailing Address

7117 Brockton Ave

Riverside, CA 925062658

Phone: 9517823685

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.