Active NPI
John Steven Portwood, M.D.
- Orthopaedic Surgery Physician
- Riverside, CA
National Provider Identifier
1255393492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- G51596
- Practice address
- 3838 Sherman Dr
Suite 2
Riverside, CA 92503-4001 - Phone
- (951) 354-7270
- Fax
- (951) 354-0625
- NPI assigned
- Apr 4, 2006
- Last updated
- Mar 2, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | G51596 | CA | Primary |
| Adult Reconstructive Orthopaedic Surgery Physician | 207XS0114X | G51596 | CA | |
| Orthopaedic Foot and Ankle Surgery Physician | 207XX0004X | G51596 | CA | |
| Orthopaedic Trauma Physician | 207XX0801X | G51596 | CA |
Addresses
Primary practice location
3838 Sherman Dr
Suite 2
Riverside, CA 92503-4001
Mailing address
3838 Sherman Dr
Suite 2
Riverside, CA 92503-4001
Phone (951) 354-7270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00G546710 | Medicaid | CA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Med Choice LTC Pharmacy LLC | Current | Accepting new patients |
Locations
3838 Sherman Dr
Ste 2
Riverside, CA 92503
Phone (951) 354-7270
Organizations & group practices 1
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.
-
- Long Term Care Pharmacy
- Modesto, CA
- NPI 1689372393
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1267488000000",
"number": "1255393492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3838 SHERMAN DR",
"address_2": "SUITE 2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034001",
"telephone_number": "951-354-7270",
"fax_number": "951-354-0625"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3838 SHERMAN DR",
"address_2": "SUITE 2",
"city": "RIVERSIDE",
"state": "CA",
"postal_code": "925034001",
"telephone_number": "951-354-7270",
"fax_number": "951-354-0625"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTWOOD",
"first_name": "JOHN",
"middle_name": "STEVEN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-04",
"last_updated": "2010-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "CA",
"license": "G51596",
"primary": true
},
{
"code": "207XS0114X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Adult Reconstructive Orthopaedic Surgery",
"state": "CA",
"license": "G51596",
"primary": false
},
{
"code": "207XX0004X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Foot and Ankle Surgery",
"state": "CA",
"license": "G51596",
"primary": false
},
{
"code": "207XX0801X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery, Orthopaedic Trauma",
"state": "CA",
"license": "G51596",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00G546710",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Riverside, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.