Yadira Nohemi Portillo, MFTI

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

IMF87184 Issued in CA

Practice address

650 N State St
Hemet, CA 92543-2960

Phone

(951) 791-3300

NPI assigned

Dec 31, 2015

Last updated

Dec 31, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1451520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1578929808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32152 ZION WAY",
            "city": "WINCHESTER",
            "state": "CA",
            "postal_code": "925968782",
            "telephone_number": "619-890-2928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 N STATE ST",
            "city": "HEMET",
            "state": "CA",
            "postal_code": "925432960",
            "telephone_number": "951-791-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "YADIRA",
        "middle_name": "NOHEMI",
        "credential": "MFTI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-31",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "IMF87184",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MARRIAGE AND FAMILY THERAPIST INTERN",
            "identifier": "IMF87184",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John C. Platts, D.D.S.
• Melina Melody Polvos
• Laura Ponce Bernal, NP
• Xavier Porchia
• Michelle Porter, NURSE PRACTITIONER
• Lissa-Ann Portorreal, PT
• Indhira Pozo-Gordon
• Ryan Gatmaitan Pozon, MD
• Practice Holdings LP (Valley Medical Center)
• Keerthana Prakash

• Marriage & Family Therapist in Hemet, CA
• Providers in Hemet, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.