El Portalito

Primary specialty

Meals ProviderTaxonomy code 174200000X

Legal business name

EL PORTALITO

Practice address

1149 E Market St
Stockton, CA 95205-5525

Phone

(209) 647-9904

NPI assigned

Jul 28, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Juan Enrique Ceja

Title

Owner

Phone

(209) 647-9904

Specialties & licenses 1

Addresses

Other names 1

• CHEF GABE Former legal business name

Locations

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

{
    "created_epoch": "1753660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753660800000",
    "number": "1821971888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3934 JESSICA CT",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952066444",
            "telephone_number": "209-647-9904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1149 E MARKET ST",
            "city": "STOCKTON",
            "state": "CA",
            "postal_code": "952055525",
            "telephone_number": "209-647-9904"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EL PORTALITO",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-28",
        "last_updated": "2025-07-28",
        "certification_date": "2025-07-28",
        "status": "A",
        "authorized_official_last_name": "CEJA",
        "authorized_official_first_name": "JUAN",
        "authorized_official_middle_name": "ENRIQUE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-647-9904",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174200000X",
            "taxonomy_group": "",
            "desc": "Meals",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "CHEF GABE",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Meals Provider in Stockton, CA
• Providers in Stockton, CA by specialty
• Meals Provider in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2025; 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.