Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1467727081 Individual Practitioner Male Practitioner

Dr. Jacob Stephen Porter , DO

Pediatrics • Riverside, CA

Professional Overview & Biography Verified Profile Summary

Dr. Jacob Porter, DO is a registered healthcare professional specializing in Pediatrics in Riverside, CA. Practice services are available at 7117 BROCKTON AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

7117 Brockton Ave

Riverside, CA 925062658

Telephone 9517823685
Fax 9517843256
Associated Practice Facility / Clinic
🏢 Riverside Medical Clinic, Inc Facility NPI 1730180415

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Riverside, CA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 26.5 Yrs
State Avg: 22.5 Yrs
Regional Practice Density
91 Specialists

Practicing in Riverside, CA (9612 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2025-04-14
Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License 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

State License 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

State License 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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

7 Associated Practitioners
NPI 1063493435

Doctor of Medicine (M.D.)

NPI 1407838220

Doctor of Medicine (M.D.)

Dr. Ghanim Almohammad Aljomah , MD

Pediatrics - Pediatric Gastroenterology

NPI 1447414099

Doctor of Medicine (M.D.)

Dr. Payal Patel , MD

Pediatrics - Pediatric Cardiology

NPI 1578762290

Doctor of Medicine (M.D.)

Altaira Schuh , NP

Nurse Practitioner - Pediatrics

NPI 1609980788

Nurse Practitioner

Dr. Shilpa Gupta , MD

Pediatrics - Pediatric Endocrinology

NPI 1659588754

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

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

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

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 #5426 in OK)

NPI Profile Active August 26, 2015

NPI status registered as active in NPPES database

📍
Updated Practice Location August 26, 2015

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

📍
Updated Business Mailing Address August 26, 2015

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

👤
Provider Name / Credentials Updated August 26, 2015

Recorded as JACOB PORTER, D.O.

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

Emergency Medicine (License #5426 in OK)

🟢
Initial NPI Registration & Enumeration March 14, 2012

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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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

Mailing Address

7117 Brockton Ave

Riverside, CA 925062658

Phone: 9517823685

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.