Individual provider Active NPI

Arturo Portales, D.O.

  • General Practice Physician
  • Tustin, CA
National Provider Identifier
1801035886
Registry record updated Jul 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
A11246 Issued in CA
Practice address
14642 Newport Ave
Suite 270
Tustin, CA 92780-6057
Phone
(714) 442-6642
Fax
(714) 442-6652
NPI assigned
Feb 13, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Family Medicine) Physician 207QA0401X A11246 CA
Adult Medicine Physician 207QA0505X A11246 CA
Pain Medicine Physician 208VP0000X A11246 CA
General Practice Physician 208D00000X A11246 CA Primary

Addresses

Primary practice location

14642 Newport Ave
Suite 270
Tustin, CA 92780-6057

Mailing address

PO Box 50157
Irvine, CA 92619-0157
Phone (714) 600-5876

Other practice location 1

113 Waterworks Way Ste 210
Irvine, CA 92618-3176
Phone (714) 798-2900

Other practice location 2

27522 Antonio Pkwy Ste P3
Ladera Ranch, CA 92694-2166
Phone (949) 207-3786

Other practice location 3

1713 W Katella Ave Ste 210
Anaheim, CA 92804-6450
Phone (714) 798-2900

Other practice location 4

1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (949) 207-3786

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
I20120608000501 CA Practitioner - Family PracticePractitioner - General Practice 5597754085 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Ohio University, College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sun Medical Group IncGroup PAC ID 8426388810, 19 clinicians

Practice addresses (Care Compare)

113 Waterworks Way
Suite 210
Irvine, CA 92618-3176
Phone (714) 442-6642

1711 W Katella Ave
Anaheim, CA 92804-6450
Phone (714) 337-9393

27522 Antonio Pkwy
Suite P3
Ladera Ranch, CA 92694-2166
Phone (949) 207-3786

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
A11246CAMDPain Medicine Physician
3315AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Sun Medical Group, Inc. Addiction Medicine CurrentSince Oct 15, 2024 Accepting new patients
Derm Lounge PC General Practice CurrentSince Dec 26, 2024 Accepting new patients
Alp Medical Services PC CurrentSince Jul 14, 2025 Accepting new patients
Sun Medical Group, Inc Addiction Medicine Current Accepting new patients
Marshall Emergency Services Associates, PLLC Past Accepting new patients
Integrity Healthcare Providers, PC Addiction Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
Acute Care Specialists, Inc. Past Accepting new patients
Camelback Anesthesia PLLC Past Accepting new patients
Tempe Emergency Physicians, LTD Past Accepting new patients
Joel D Pavelonis MD PC Past Accepting new patients
Pinnacle Medicine Inc. Past Accepting new patients

Locations

1713 W Katella Ave
Ste 210
Anaheim, CA 92804
Phone (714) 798-2900

1711 W Katella Ave
Anaheim, CA 92804
Phone (714) 337-9393

1713 W Katella Ave
Anaheim, CA 92804
Phone (714) 798-2900

113 Waterworks Way
Ste 210
Irvine, CA 92618
Phone (714) 442-6642

27522 Antonio Pkwy
Ste P3
Ladera Ranch, CA 92694
Phone (949) 207-3786

14642 Newport Ave
Ste 270
Tustin, CA 92780
Phone (714) 442-6642

Organizations & group practices 12

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1234483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752537600000",
    "number": "1801035886",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 50157",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926190157",
            "telephone_number": "714-600-5876",
            "fax_number": "714-442-6652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14642 NEWPORT AVE",
            "address_2": "SUITE 270",
            "city": "TUSTIN",
            "state": "CA",
            "postal_code": "927806057",
            "telephone_number": "714-442-6642",
            "fax_number": "714-442-6652"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "113 Waterworks Way Ste 210",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926183176",
            "country_code": "US",
            "telephone_number": "714-798-2900",
            "fax_number": "949-216-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "27522 Antonio Pkwy Ste P3",
            "address_purpose": "LOCATION",
            "city": "Ladera Ranch",
            "state": "CA",
            "postal_code": "926942166",
            "country_code": "US",
            "telephone_number": "949-207-3786",
            "fax_number": "949-216-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1713 W Katella Ave Ste 210",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928046450",
            "country_code": "US",
            "telephone_number": "714-798-2900",
            "fax_number": "949-216-3232",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1711 W Katella Ave",
            "address_purpose": "LOCATION",
            "city": "Anaheim",
            "state": "CA",
            "postal_code": "928046450",
            "country_code": "US",
            "telephone_number": "949-207-3786",
            "fax_number": "949-216-3232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PORTALES",
        "first_name": "ARTURO",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-02-13",
        "last_updated": "2025-07-15",
        "certification_date": "2025-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "CA",
            "license": "A11246",
            "primary": false
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "CA",
            "license": "A11246",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "CA",
            "license": "A11246",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "CA",
            "license": "A11246",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tustin, CA

Sources for this page

Verify at the official NPI Registry.