Donald J Portocarrero D O Inc

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

DONALD J PORTOCARRERO D O INC

Practice address

623 W Duarte Rd Ste 8
Arcadia, CA 91007-7349

Phone

(626) 461-5408

Fax

(626) 461-5436

NPI assigned

Nov 30, 2020

Organization subpart

No

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

Authorized official

Name

Donald J Portocarrero, DONPI 1841503570

Title

Authorized Official

Phone

(626) 461-5408

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald J Portocarrero, D.O.

  • Gastroenterology Physician
  • Arcadia, CA
  • NPI 1841503570
  Medicare reassignment NPD Authorized official
• Patricia De la Rocha, NP

  • Nurse Practitioner
  • Arcadia, CA
  • NPI 1194580845
  Medicare reassignment NPD

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

{
    "created_epoch": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1710374400000",
    "number": "1144824285",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122A E FOOTHILL BLVD UNIT 304",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910062505",
            "telephone_number": "626-461-5408",
            "fax_number": "626-461-5436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 W DUARTE RD STE 8",
            "city": "ARCADIA",
            "state": "CA",
            "postal_code": "910077349",
            "telephone_number": "626-461-5408",
            "fax_number": "626-461-5436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD J PORTOCARRERO D O INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2024-03-14",
        "certification_date": "2024-03-14",
        "status": "A",
        "authorized_official_last_name": "PORTOCARRERO",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "626-461-5408",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandra Dobesh, DPT
• Doheny Eye Medical Group, Inc
• Rald Moel Antonio Dolom
• Betsabel Dominguez
• Constanza Dominguez
• Lisa Donat
• Dong L Chang M.D., Inc.
• Donna N. Arase, D.D.S.
• Diana Isabel Doovas
• Asok Doraiswamy, M.D.

• Gastroenterology Physician in Arcadia, CA
• Providers in Arcadia, CA by specialty
• Gastroenterology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.