Frank A Portale, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26908 Issued in CA

Practice address

1610 N El Dorado St
Suite 7
Stockton, CA 95204-5930

Phone

(209) 464-7658

Fax

(209) 464-4019

NPI assigned

Nov 16, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

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

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770656639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1610 N EL DORADO ST",
            "address_2": "SUITE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045930",
            "telephone_number": "209-464-7658",
            "fax_number": "209-464-4019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1610 N EL DORADO ST",
            "address_2": "SUITE 7",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952045930",
            "telephone_number": "209-464-7658",
            "fax_number": "209-464-4019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PORTALE",
        "first_name": "FRANK",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-16",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Port City Operating Company, LLC (St. Joseph's Behavioral Health Center)
• Port City Operating Company, LLC
• Port City Operating Company, LLC (St. Joseph's Medical Center of Stockton)
• Port City Operating Company, LLC (St. Joseph's Medical Center of Stockton)
• Port City Operating Company, LLC (St. Joseph's Behavioral Health Center)
• Portcitypartybus LLC
• Kalashai Porter
• Precious Jewel Porter
• Sequoya Porter
• Chantel Maira Portillo

• General Practice Dentistry in Stockton, CA
• Providers in Stockton, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.