Active NPI
Katy J Portillo
- Doula
- Ridgecrest, CA
National Provider Identifier
1104788835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Doula
- License
- E1904908
- Practice address
- 413 S Sunset St Apt a
Ridgecrest, CA 93555-4566 - Phone
- (760) 461-0987
- NPI assigned
- Dec 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Doula | 374J00000X | E1904908 | CA | Primary |
Addresses
Primary practice location
413 S Sunset St Apt a
Ridgecrest, CA 93555-4566
Mailing address
413 S Sunset St Apt a
Ridgecrest, CA 93555-4566
Phone (760) 461-0987
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E1904908 | CA | MD | Doula |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1764547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1764547200000",
"number": "1104788835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "413 S SUNSET ST APT A",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935554566",
"telephone_number": "760-461-0987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "413 S SUNSET ST APT A",
"city": "RIDGECREST",
"state": "CA",
"postal_code": "935554566",
"telephone_number": "760-461-0987"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLO",
"first_name": "KATY",
"middle_name": "J",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-12-01",
"last_updated": "2025-12-01",
"certification_date": "2025-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "374J00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Doula",
"state": "CA",
"license": "E1904908",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ridgecrest, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.