Charmanay Porter

Primary specialty

Registered NurseTaxonomy code 163W00000X

License

95162551 Issued in CA

Practice address

4309 3Rd Ave
San Diego, CA 92103-1407

Phone

(619) 876-4502

NPI assigned

Nov 25, 2018

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1543104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543104000000",
    "number": "1083183750",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8688 LUNA NUEVO CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891478183",
            "telephone_number": "619-306-7679"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 3RD AVE",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921031407",
            "telephone_number": "619-876-4502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTER",
        "first_name": "CHARMANAY",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-11-25",
        "last_updated": "2018-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "CA",
            "license": "95162551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Krystal Rosebud Portalatin, B.A.
• Lilia Katherine Portales, DDS
• Debra Denise Portee
• Lucilia Goncalves Portela, PT, DPT
• Annalisa Porter, PHARM.D.
• Deanna Porter
• Dorothy Delidiich Porter
• Evette Porter
• Glenn Porter
• Glenn Andrew Porter Jr.

• Registered Nurse in San Diego, CA
• Providers in San Diego, CA by specialty
• Registered Nurse in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.