Mr Robert J Portillo, is a
Community Health Worker based in Stockton, California. Mr Robert J Portillo is licensed to practice in California (license number ) and his current practice location is
1212 N California St, Stockton, California. He can be reached at his office (for appointments etc.) via phone at
(209) 380-1945.
NPI number for Mr Robert J Portillo is 1841538949 and his current mailing address is 5201 Bora Ct, Salida, California. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1841538949.
Healthcare Provider's Profile
| Full Name | Mr Robert J Portillo |
|---|
| Gender | Male |
|---|
| Speciality | Community Health Worker |
|---|
| Location | 1212 N California St, Stockton, California |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
|---|
NPI Data:
- NPI Number: 1841538949
- Provider Enumeration Date: 01/24/2013
- Last Update Date: 12/19/2023
Medical Identifiers
Medical identifiers for Mr Robert J Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1841538949 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101Y00000X | Counselor | (* (Not Available)) | Secondary |
| 172V00000X | Community Health Worker | (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert J Portillo is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Mr Robert J Portillo,
5201 Bora Ct,
Salida, CA 95368-9402
Ph: () - | Mr Robert J Portillo,
1212 N California St,
Stockton, CA 95202-1552
Ph: (209) 380-1945 |
Reviews and Comments