Individual provider Active NPI

Elena Ortiz Portillo, M.D.

  • Psychiatry Physician
  • Sylmar, CA
National Provider Identifier
1629153465
Registry record updated Jun 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
A84141 Issued in CA
Practice address
14445 Olive View Dr. - Department of Psychiatry
Olive View Medical Center
Sylmar, CA 91342
Phone
(818) 364-4341
Fax
(818) 364-4493
NPI assigned
Oct 26, 2006
Last updated
Jun 17, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 17, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X A84141 CA Primary

Addresses

Primary practice location

14445 Olive View Dr. - Department of Psychiatry
Olive View Medical Center
Sylmar, CA 91342

Mailing address

14445 Olive View Dr. - Department of Psychiatry
Olive View Medical Center
Sylmar, CA 91342
Phone (818) 364-4341

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
I20051115001209 CA Practitioner - Psychiatry 4880613140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

10605 Balboa Blvd
Suite 100
Granada Hills, CA 91344-6367
Phone (818) 832-2400

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A84141CAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Los Angeles County Department of Mental Health Current Accepting new patients
County of Los Angeles Auditor Controller CurrentSince Jun 1, 2012 Accepting new patients
County of Los Angeles CurrentSince Jun 1, 2012 Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 1, 2013 Accepting new patients
County of Los Angeles Current Accepting new patients
Los Angeles County Department of Mental Health CurrentSince Jun 1, 2013 Accepting new patients

Locations

510 S Vermont Ave
Fl 19
Los Angeles, CA 90020
Phone (213) 480-3416

550 S Vermont Ave
Fl 6
Los Angeles, CA 90020
Phone (213) 351-7284

10605 Balboa Blvd
Ste 100
San Fernando, CA 91344
Phone (818) 832-2400

14445 Olive View Dr
Sylmar, CA 91342
Phone (881) 836-4303

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434499200000",
    "number": "1629153465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR. - DEPARTMENT OF PSYCHIATRY",
            "address_2": "OLIVE VIEW MEDICAL CENTER",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-364-4341",
            "fax_number": "818-364-4493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14445 OLIVE VIEW DR. - DEPARTMENT OF PSYCHIATRY",
            "address_2": "OLIVE VIEW MEDICAL CENTER",
            "city": "SYLMAR",
            "state": "CA",
            "postal_code": "91342",
            "telephone_number": "818-364-4341",
            "fax_number": "818-364-4493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ORTIZ PORTILLO",
        "first_name": "ELENA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2015-06-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CA",
            "license": "A84141",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sylmar, CA

Sources for this page

Verify at the official NPI Registry.