Portillo Chiropractic Inc.

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

PORTILLO CHIROPRACTIC INC.

Practice address

71 Bill Drake Way
Pacifica, CA 94044-1802

Phone

(650) 303-2889

NPI assigned

Aug 18, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Andres Portillo, DCNPI 1205563855

Title

Owner

Phone

(650) 303-2889

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andres Armando Portillo, DC

  • Chiropractor
  • Pleasant Hill, CA
  • NPI 1205563855
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1755475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1755475200000",
    "number": "1821975228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "71 BILL DRAKE WAY",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441802",
            "telephone_number": "650-303-2889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "71 BILL DRAKE WAY",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940441802",
            "telephone_number": "650-303-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTILLO CHIROPRACTIC INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-18",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A",
        "authorized_official_last_name": "PORTILLO",
        "authorized_official_first_name": "ANDRES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "650-303-2889",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryann Elizabeth Pellino-Benner, PH.D.
• Stephanie Elliott Perez, MFT
• Ashton Renee Perroni, ND
• Physical Sarah-Py
• Andrea Polk, PH D
• Stephen R Prevost, D.D.S.
• Protea Acupuncture
• Mark C Purcell, PSY.D.
• Gabriel Joseph Quijano
• Jennifer Quirante, OD

• Chiropractor in Pacifica, CA
• Providers in Pacifica, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.