Doctor profile · Federal record

Dr. Mickoyan Poole, PA-C

Physician Assistant · Rialto, CA

  • NPI 1316201734
  • 14 yrs on file
  • Male
  • Solo practice
  • No sanctions

Practice & contact

NPPES Updated May 11, 2026
Primary practice
425 E Foothill Blvd
Rialto, CA 923765153
(909) 546-1005
fax (909) 546-1061

Credentials & registration

NPPES · NUCC
NPI registered
June 2012 — 14 yrs on file
Profile last updated
February 7, 2022
Specialty taxonomy
363A00000X — NUCC code
State license (1)
California #15766
Medicaid
CA #1316201734

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1316201734. Last verified May 11, 2026.

Medicare procedures · 2023

Top services delivered

CMS Provider Utilization
Total services
13
Distinct HCPCS
1
Medicare allowed
$1,458
HCPCS Description Services Patients Avg allowed
99214 Established patient office or other outpatient visit, 30-39 minutes 13 13 $112

In context: peer comparison

Among 1 peers in Rialto Physician Assistant, average services per provider: 13. This provider delivers 1.0× the peer median.

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
107
Patients
44
Total drug cost
$1,534
Drug Type Claims Patients Total cost
Atorvastatin Calcium Generic 26 17 $343
Metformin Hcl Generic 24 16 $190
Lisinopril Generic 16 11 $140
Albuterol Sulfate Hfa (Albuterol Sulfate) Brand 15 0 $654
Amlodipine Besylate Generic 14 0 $102
Hydrochlorothiazide Generic 12 0 $105

Frequently asked questions

Auto-generated from federal data
What is Dr. Mickoyan Poole's medical specialty?
Dr. Mickoyan Poole practices Physician Assistant in Rialto, CA.
Where does Dr. Mickoyan Poole practice?
Dr. Mickoyan Poole practices at 425 E Foothill Blvd, Rialto, CA 923765153. Office phone: 9095461005.
What is Dr. Mickoyan Poole's NPI?
Dr. Mickoyan Poole's National Provider Identifier (NPI) is 1316201734, issued by NPPES.
What procedures does Dr. Mickoyan Poole commonly perform?
Top Medicare-reported procedures in 2023: Established patient office or other outpatient visit (HCPCS 99214). Source: CMS Medicare Physician & Other Practitioners file.