Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kathleen Rose Deponte, PA

Individual provider Medical Physician Assistant · NPI 1205478450

Kathleen Rose Deponte, PA is a Medical Physician Assistant in Riverside, California. Licensed in Arizona and California. Registered with an NPI since 2019.

Licensed in
AZ, CA
In the registry since
2019
Specialties on file
3
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

7172 Magnolia Ave
Riverside, CA 92504-3804
Phone: (480) 301-8000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 7650 (AZ)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 57510 (CA)
Medical Physician Assistant Taxonomy 363AM0700X · Licence 7650 (AZ)

Record details

NPI number1205478450
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 9, 2019
Last updated in NPPESOctober 22, 2025
Certification dateOctober 22, 2025

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