Active NPI
Pedro Portes, ACNP
- Nurse Practitioner
- Orange, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 23628
- Practice address
- 101 The City Dr S BLDG 25
Orange, CA 92868-3201 - Phone
- (714) 456-6699
- NPI assigned
- Oct 22, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 23628 | CA | |
| Nurse Practitioner | 363L00000X | 23628 | CA | Primary |
Addresses
Primary practice location
101 The City Dr S BLDG 25
Orange, CA 92868-3201
Mailing address
200 S Manchester Ave Ste 300
Orange, CA 92868-3219
Phone (714) 456-2986
Other practice location 1
2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone (916) 734-5513
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 83.7
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23628 | CA | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regents of the Univ of Ca | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of California, Inc | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Regents of the Univ of Ca | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| UC Regents | Current | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Regents of the Univ of Ca | Past | Accepting new patients | |
| Umass Memorial Medical Center, Inc. | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients | |
| University of California Irvine | Past | Accepting new patients |
Locations
18300 US Highway 18
Apple Valley, CA 92307
Phone (760) 424-2311
643 W East Ave
Chico, CA 95926
Phone (530) 342-0502
800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511
500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000
101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054
101 The City Dr S
Bldg 25
Orange, CA 92868
Phone (714) 456-5731
2767 Olive Hwy
Oroville, CA 95966
Phone (916) 533-8500
2315 Stockton Blvd
#5
Sacramento, CA 95817
Phone (916) 703-3050
2221 Stockton Blvd
Sacramento, CA 95817
Phone (916) 734-2680
2315 Stockton Blvd
Rm 6312
Sacramento, CA 95817
Phone (919) 368-0082
2221 Stockton Blvd
Ste E
Sacramento, CA 95817
Phone (916) 734-2680
2315 Stockton Blvd
Sacramento, CA 95817
Phone (916) 703-3030
347 Andrieux St
Sonoma, CA 95476
Phone (707) 935-5000
Organizations & group practices 13
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Infectious Disease Physician
- Orange, CA
- NPI 1760430847
-
- Internal Medicine Physician
- Apple Valley, CA
- NPI 1184663965
-
- Maternal & Fetal Medicine Physician
- Sacramento, CA
- NPI 1013906973
-
- Orthopaedic Surgery Physician
- Sacramento, CA
- NPI 1275526295
-
- Diagnostic Radiology Physician
- Sacramento, CA
- NPI 1477546406
-
- Pulmonary Disease Physician
- Orange, CA
- NPI 1629026729
-
- Cardiovascular Disease Physician
- Orange, CA
- NPI 1639107139
-
- Surgery Physician
- Sacramento, CA
- NPI 1427041698
-
- Pulmonary Disease Physician
- Sacramento, CA
- NPI 1437142692
-
- Infusion Therapy Clinic/Center
- Irvine, CA
- NPI 1417027475
-
- General Acute Care Hospital
- Orange, CA
- NPI 1689608150
-
- General Acute Care Hospital
- Marlborough, MA
- NPI 1396738159
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1382400000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1705881600000",
"number": "1316375744",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S MANCHESTER AVE STE 300",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683219",
"telephone_number": "714-456-2986"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 THE CITY DR S BLDG 25",
"city": "ORANGE",
"state": "CA",
"postal_code": "928683201",
"telephone_number": "714-456-6699"
}
],
"practiceLocations": [
{
"address_1": "2315 Stockton Blvd",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958172201",
"country_code": "US",
"telephone_number": "916-734-5513",
"fax_number": "916-734-5378",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTES",
"first_name": "PEDRO",
"credential": "ACNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-10-22",
"last_updated": "2024-01-22",
"certification_date": "2024-01-22",
"status": "A"
},
"taxonomies": [
{
"code": "363LA2100X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Acute Care",
"state": "CA",
"license": "23628",
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "CA",
"license": "23628",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Orange, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.