Carlos-Miguel Del Portillo, CRNA
Individual provider Active NPI Certified Registered Nurse Anesthetist · Porterville, CA
NPI 1689367666 · NPPES record last updated May 26, 2023
Key facts
- NPI
- 1689367666
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Certified Registered Nurse Anesthetist 367500000X
- License
- 95002077 (CA)
- Practice address
- 465 W Putnam Ave
Porterville, CA 93257-3320 - Phone
- (559) 784-1110
- NPI assigned
- May 26, 2023
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 14
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Loma Linda University School of Medicine, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Cep America - Anesthesia PC
Practice addresses (Care Compare)
23845 McBean Pkwy
Valencia, CA 91355-2001
Phone (661) 200-1705
25751 McBean Pkwy
Suite 105
Valencia, CA 91355-3701
Phone (661) 200-1315
26357 McBean Pkwy
Suite 100
Santa Clarita, CA 91355-4489
Phone (661) 799-8300
Hospital & facility affiliations
- Henry Mayo Newhall Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230607002965 | CA | Practitioner - Certified Registered Nurse Anesthetist (Crna) | 8325405277 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| Community Foundation Medical Group | Current |
Accepting new patients | |
| Valley Regional Anesthesia Associates Inc | Single Specialty | Current |
Accepting new patients |
| Regional Anesthesia Associates Inc | Single Specialty | Current |
Accepting new patients |
| Community Foundation Medical Group | Single Specialty | Current | Accepting new patients |
| Cep America - Anesthesia PC | Current |
Accepting new patients | |
| Cep America - Anesthesia, PC | Single Specialty | Current | Accepting new patients |
| SCQ Anesthesia a Professional Nursing Corporation | Single Specialty | Current |
Accepting new patients |
Locations
1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000
9300 Stockdale Hwy
Ste 200
Bakersfield, CA 93311
Phone (661) 663-3700
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
2335 E Kashian Ln
Ste 270
Fresno, CA 93701
Phone (559) 445-1251
360 E Yosemite Ave
Ste 200
Merced, CA 95340
Phone (209) 354-4675
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
465 W Putnam Ave
Porterville, CA 93257
Phone (559) 784-8886
7640 Tampa Ave
Ste 102
Reseda, CA 91335
Phone (818) 674-4888
4500 Brockton Ave
Ste 105
Riverside, CA 92501
Phone (951) 784-4088
18840 Ventura Blvd
Ste 100A
Tarzana, CA 91356
23845 McBean Pkwy
Valencia, CA 91355
Phone (661) 200-2000
26357 McBean Pkwy
Ste 100
Valencia, CA 91355
Phone (661) 799-8300
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist |
367500000X | 95002077 | CA | Yes |
Addresses
Primary practice location
465 W Putnam Ave
Porterville, CA 93257-3320
Mailing address
PO Box 7096
Stockton, CA 95267-0096
Other providers in Porterville, CA
- Deboer Home
- Deboer Home #2
- Deboer Homes, Inc
- Deboer Homes, Inc
- Deepika Wali, M.D., Inc.
- Israel Delgado
- Patricia Ann Delima
- Tina Teresa Delussa
- Daisy Nicanor Demaranville
- David N Deppen
All providers in Porterville, CA · Certified Registered Nurse Anesthetist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 26, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.