Yesenia Portillo, NP

Primary specialty

Acute Care Nurse PractitionerTaxonomy code 363LA2100X

License

95021315 Issued in CA

Practice address

4477 W 118TH St Ste 200
Hawthorne, CA 90250-2257

Phone

(310) 675-4440

Fax

(310) 675-5816

NPI assigned

Feb 15, 2023

Last updated

Feb 15, 2023By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Nurse Practitioner

State licenses

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

{
    "created_epoch": "1676419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676419200000",
    "number": "1770280182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502257",
            "telephone_number": "310-675-4440",
            "fax_number": "310-675-5816"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4477 W 118TH ST STE 200",
            "city": "HAWTHORNE",
            "state": "CA",
            "postal_code": "902502257",
            "telephone_number": "310-675-4440",
            "fax_number": "310-675-5816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTILLO",
        "first_name": "YESENIA",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-02-15",
        "last_updated": "2023-02-15",
        "certification_date": "2023-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "CA",
            "license": "95021315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christy Oby Pleasant, B.A.
• Danuta Plenzler, DDS
• Deborah Poirier, M.A.
• Pooja Aswani Dental Corporation
• Edelmira Portillo
• Sheila Powell
• Preferred Therapy Associates, Inc
• Primax Healthcare Associates, Inc.
• Jennifer Moreno Prior, PA-C
• Psychiatric Excellence

• Acute Care Nurse Practitioner in Hawthorne, CA
• Providers in Hawthorne, CA by specialty
• Acute Care Nurse Practitioner in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2023; 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.