Dr Michael Richard Portillo, MD | |
680 Guzzi Ln Ste 106, Sonora, CA 95370-5288 | |
(209) 536-5770 | |
(209) 536-3596 |
Full Name | Dr Michael Richard Portillo |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 12 Years |
Location | 680 Guzzi Ln Ste 106, Sonora, California |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306235957 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | A144432 (California) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Home Care Services | Sonora, CA | Home health agency |
Hospice Of The Sierra | Sonora, CA | Hospice |
Adventist Health Sonora | Sonora, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Sonora Community Hospital | 4284538505 | 91 |
Entity Name | Sonora Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
Entity Name | Sonora Community Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1033100854 PECOS PAC ID: 4284538505 Enrollment ID: O20040316000829 |
Mailing Address | Practice Location Address |
---|---|
Dr Michael Richard Portillo, MD Po Box 655, Twain Harte, CA 95383-0655 Ph: (209) 206-2266 | Dr Michael Richard Portillo, MD 680 Guzzi Ln Ste 106, Sonora, CA 95370-5288 Ph: (209) 536-5770 |
Dr. Edward William Clinite, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 680 Guzzi Ln, Suite 106, Sonora, CA 95370 Phone: 209-532-2792 | |
Jack Leroy Stclair, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14540 Mono Way, Sonora, CA 95370 Phone: 209-743-7084 Fax: 209-928-5615 | |
Mathea S Salas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12791 Cabezut Rd, Sonora, CA 95370 Phone: 209-532-5524 Fax: 209-532-1513 | |
Dr. Matthew Lincoln Personius, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 183 Fairview Ln, Suite A, Sonora, CA 95370 Phone: 209-532-4287 Fax: 209-532-4289 | |
Timothy D Hooper, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 13951 Mono Way, Ste A, Sonora, CA 95370 Phone: 209-532-3370 Fax: 209-532-3340 | |
Dr. Stacey Lynne Hoffmann, M.D. Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 183 Fairview Ln, Suite A/b, Sonora, CA 95370 Phone: 209-536-0600 Fax: 209-536-0604 |