Carlos-miguel Del Portillo, CRNA | |
465 W Putnam Ave, Porterville, CA 93257-3320 | |
(559) 784-1110 | |
Not Available |
Full Name | Carlos-miguel Del Portillo |
---|---|
Gender | Male |
Speciality | Nurse Anesthetist, Certified Registered |
Location | 465 W Putnam Ave, Porterville, California |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1689367666 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
367500000X | Nurse Anesthetist, Certified Registered | 95002077 (California) | Primary |
Entity Name | Community Foundation Medical Group |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811258510 PECOS PAC ID: 0345406294 Enrollment ID: O20120723000387 |
Entity Name | Regional Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811442874 PECOS PAC ID: 7810275096 Enrollment ID: O20161021001369 |
Entity Name | Valley Regional Anesthesia Associates Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1578272415 PECOS PAC ID: 3870964323 Enrollment ID: O20230120001928 |
Mailing Address | Practice Location Address |
---|---|
Carlos-miguel Del Portillo, CRNA Po Box 7096, Stockton, CA 95267-0096 Ph: () - | Carlos-miguel Del Portillo, CRNA 465 W Putnam Ave, Porterville, CA 93257-3320 Ph: (559) 784-1110 |
Daniel Elton, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 1190 E Fairhaven Ct, Porterville, CA 93257 Phone: 559-759-3717 | |
Anselmo Serna, CRNA Nurse Anesthetist - CR Medicare: Medicare Enrolled Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Ms. Michele Louise Bialy, CRNA Nurse Anesthetist - CR Medicare: Accepting Medicare Assignments Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 | |
Mrs. Janet M Bailey, CRNA Nurse Anesthetist - CR Medicare: Not Enrolled in Medicare Practice Location: 465 W Putnam Ave, Porterville, CA 93257 Phone: 559-784-1110 Fax: 559-784-2742 |