Jon Stephen Portnoff, MD | |
260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 | |
(707) 463-2400 | |
(707) 463-3520 |
Full Name | Jon Stephen Portnoff |
---|---|
Gender | Male |
Speciality | Cardiovascular Disease (cardiology) |
Experience | 40 Years |
Location | 260 Hospital Dr, Ukiah, 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 |
---|---|---|---|
1609874445 | NPI | - | NPPES |
00A432190 | Medicaid | CA | |
ZZZ00872Z | Other | CA | MEDICARE PTAN |
00A432190 | Other | CA | BLUE SHIELD OF CALIFORNIA |
060020995 | Other | CA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RC0000X | Internal Medicine - Cardiovascular Disease | A43219 (California) | Primary |
207RI0011X | Internal Medicine - Interventional Cardiology | A43219 (California) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Adventist Health Ukiah Valley | Ukiah, CA | Hospital |
Adventist Health Howard Memorial | Willits, CA | Hospital |
Mendocino Coast District Hospital | Fort bragg, CA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Adventist Health Physicians Network | 3274580972 | 544 |
Ukiah Adventist Hospital | 6406816123 | 104 |
Willits Hospital Inc | 7416940697 | 45 |
Entity Name | Willits Hospital Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1356339543 PECOS PAC ID: 7416940697 Enrollment ID: O20040405000843 |
Entity Name | Ukiah Adventist Hospital |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1235120676 PECOS PAC ID: 6406816123 Enrollment ID: O20041015000818 |
Entity Name | Adventist Health Physicians Network |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063718583 PECOS PAC ID: 3274580972 Enrollment ID: O20050407000633 |
Entity Name | Adventist Health Mendocino Coast |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1538113725 PECOS PAC ID: 3678990769 Enrollment ID: O20220620001667 |
Mailing Address | Practice Location Address |
---|---|
Jon Stephen Portnoff, MD Po Box 2739, Ukiah, CA 95482-2739 Ph: (707) 463-8000 | Jon Stephen Portnoff, MD 260 Hospital Dr, Suite 207, Ukiah, CA 95482-4533 Ph: (707) 463-2400 |
Dr. Guy Teran, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-8000 Fax: 707-462-1111 | |
Christine Ives, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 275 S Orchard Ave, Ukiah, CA 95482 Phone: 707-463-3440 Fax: 707-463-3446 | |
Dr. Ronald Sean Batin, M.D. Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 232 Hospital Dr Ste A, Ukiah, CA 95482 Phone: 707-467-3189 | |
Linda Louise Mulligan, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 630 Kings Ct, Ukiah, CA 95482 Phone: 707-468-7700 | |
Harry Berj Matossian, M.D. Cardiovascular Disease Medicare: Medicare Enrolled Practice Location: 234 Hospital Dr, Ukiah, CA 95482 Phone: 707-462-0681 Fax: 707-462-4647 | |
Iyad Hanna, MD Cardiovascular Disease Medicare: Accepting Medicare Assignments Practice Location: 260 Hospital Dr, Suite 103, Ukiah, CA 95482 Phone: 707-463-8028 Fax: 707-462-7382 | |
Benjamin H Meyer, M.D. Cardiovascular Disease Medicare: Not Enrolled in Medicare Practice Location: 115 Hospital Dr, Ukiah, CA 95482 Phone: 707-463-2400 Fax: 707-463-3520 |