Andres Armando Portillo, DC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

36346 Issued in CA

Practice address

670 Gregory LN Ste C
Pleasant Hill, CA 94523-2771

Phone

(925) 395-0252

NPI assigned

Aug 3, 2022

Last updated

Aug 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in CA

Enrollment records 1

Specialty

Chiropractic

Education

Palmer College Chiropractic - West Sunnyvale, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Portillo Chiropractic Inc.

  • Chiropractor
  • Pacifica, CA
  • NPI 1821975228
  Medicare reassignment NPD Authorized official
• DC Atkinson DC Inc

  • Chiropractor
  • Pleasant Hill, CA
  • NPI 1124393780
  NPD

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

{
    "created_epoch": "1659484800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659484800000",
    "number": "1205563855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22158 PERALTA ST UNIT B",
            "city": "HAYWARD",
            "state": "CA",
            "postal_code": "945413918",
            "telephone_number": "650-303-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 GREGORY LN STE C",
            "city": "PLEASANT HILL",
            "state": "CA",
            "postal_code": "945232771",
            "telephone_number": "925-395-0252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "ANDRES",
        "middle_name": "ARMANDO",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-03",
        "last_updated": "2022-08-03",
        "certification_date": "2022-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CA",
            "license": "36346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pleasant Hillidence Opco, LLC (Pleasant Hill Post Acute)
• David Stuart Pollack, PH. D.
• Cassidie Pollard
• Portia Polner, PH D LIC PSYCHOLOGIS
• Michelle Pongol
• Posy Inc.
• Scott Powell
• Jillene Rlayne Prater
• Amy Presley, MFT
• Presnick Chiropractic Office

• Chiropractor in Pleasant Hill, CA
• Providers in Pleasant Hill, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.