Individual provider Active NPI

Manuel Porto, MD

  • Maternal & Fetal Medicine Physician
  • Orange, CA
National Provider Identifier
1497838916
Registry record updated Oct 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
000000A30744 Issued in CA
Practice address
200 S. Manchester Ave
Suite 600
Orange, CA 92868-3217
Phone
(714) 456-2911
Fax
(714) 456-8383
NPI assigned
Oct 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Maternal & Fetal Medicine Physician 207VM0101X 000000A30744 CA Primary

Addresses

Primary practice location

200 S. Manchester Ave
Suite 600
Orange, CA 92868-3217

Mailing address

101 City Drive S.
Building 56 Suite 800
Orange, CA 92868-3201
Phone (714) 456-5968

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041007000760 CA Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 5294633160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Regents of the University of CaliforniaGroup PAC ID 0143128009, 51 clinicians

Practice addresses (Care Compare)

101 The City Dr S
Orange, CA 92868-3201
Phone (714) 456-7002

Hospital & facility affiliations

  • Providence St. Joseph Hospital Hospital, Orange, CA, CCN 050069

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as apm
Quality
83.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30744CAMDChiropractor
000000A30744CAMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California Maternal & Fetal Medicine CurrentSince Jan 1, 1973 Accepting new patients
Bristol Park Medical Group, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Saddleback Memorial Medical Center Past Accepting new patients
Regents of the University of California PastSince Oct 1, 2013 Accepting new patients
University of California Irvine Past Accepting new patients
Orange County Global Medical Center, Inc Past Accepting new patients
University of California Irvine Past Accepting new patients
Torrance Memorial Medical Center Past Accepting new patients
Long Beach Memorial Medical Past Accepting new patients

Locations

300 W Carl Karcher Way
Anaheim, CA 92801
Phone (657) 282-6356

800 S Main St
Corona, CA 92882
Phone (909) 625-5411

11190 Warner Ave
Ste 402
Fountain Valley, CA 92708
Phone (714) 556-3902

101 E Valencia Mesa Dr
Fullerton, CA 92835
Phone (714) 446-7505

23961 Calle de la Magdalena
Ste 4
Laguna Hills, CA 92653

200 S Manchester Ave
Ste 600
Orange, CA 92868
Phone (714) 456-2911

1100 W Stewart Dr
Orange, CA 92868
Phone (714) 532-8620

505 S Main St
Ste 650
Orange, CA 92868

101 The City Dr S
Orange, CA 92868
Phone (714) 456-6054

800 N Main St
Santa Ana, CA 92701
Phone (714) 456-6324

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1161388800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351468800000",
    "number": "1497838916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 CITY DRIVE S.",
            "address_2": "BUILDING 56 SUITE 800",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683201",
            "telephone_number": "714-456-5968",
            "fax_number": "714-456-7091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S. MANCHESTER AVE",
            "address_2": "SUITE 600",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928683217",
            "telephone_number": "714-456-2911",
            "fax_number": "714-456-8383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTO",
        "first_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-21",
        "last_updated": "2012-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "CA",
            "license": "000000A30744",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CA

Sources for this page

Verify at the official NPI Registry.