Active NPI
Donald J Portocarrero, D.O.
- Gastroenterology Physician
- Arcadia, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 20A11058
- Practice address
- 623 W Duarte Rd Ste 8
Arcadia, CA 91007-7349 - Phone
- (626) 461-5408
- Fax
- (626) 461-5436
- NPI assigned
- Jul 22, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 20A11058 | CA | Primary |
Addresses
Primary practice location
623 W Duarte Rd Ste 8
Arcadia, CA 91007-7349
Mailing address
122A E Foothill Blvd Unit 304
Arcadia, CA 91006-2505
Phone (626) 461-5408
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
623 W Duarte Rd
Suite 8
Arcadia, CA 91007-7349
Phone (626) 461-5408
Hospital & facility affiliations
- Usc Arcadia Hospital
- Adventist Health White Memorial
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 96 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 273 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 20A11058 | CA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Live Oak Surgery Center Inc | Current | Accepting new patients | |
| Donald J Portocarrero D O Inc | Gastroenterology | Current | Accepting new patients |
| St. Francis Medical Center | Past | Accepting new patients | |
| St Francis Medical Center | Past | Accepting new patients | |
| White Memorial Medical Center | Past | Accepting new patients | |
| Ahmc Monterey Park Hospital LP | Past | Accepting new patients |
Locations
623 W Duarte Rd
Ste 8
Arcadia, CA 91007
Phone (626) 321-9944
122A E Foothill Blvd
Arcadia, CA 91006
638 W Duarte Rd
Ste 8
Arcadia, CA 91007
Phone (626) 461-5408
638 W Duarte Rd
Ste 5
Arcadia, CA 91007
Phone (626) 461-5408
3400 E Florence Ave
#A
Huntington Park, CA 90255
Phone (323) 588-5157
309 W Beverly Blvd
Montebello, CA 90640
Phone (323) 725-4209
101 E Beverly Blvd
Ste 401
Montebello, CA 90640
Phone (323) 722-2260
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Organizations & group practices 6
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.
-
- Gastroenterology Physician
- Arcadia, CA
- NPI 1144824285
-
- Ambulatory Surgical Clinic/Center
- Arcadia, CA
- NPI 1841013992
-
- General Acute Care Hospital
- Monterey Park, CA
- NPI 1780676221
-
- Long Term Care Hospital
- Lynwood, CA
- NPI 1346378270
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
-
- General Acute Care Hospital
- Trenton, NJ
- NPI 1255419651
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Arcadia, CA
- NPI 1508851288
-
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1215927470
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1279756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1710374400000",
"number": "1841503570",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "122A E FOOTHILL BLVD UNIT 304",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910062505",
"telephone_number": "626-461-5408",
"fax_number": "626-461-5436"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "623 W DUARTE RD STE 8",
"city": "ARCADIA",
"state": "CA",
"postal_code": "910077349",
"telephone_number": "626-461-5408",
"fax_number": "626-461-5436"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTOCARRERO",
"first_name": "DONALD",
"middle_name": "J",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-07-22",
"last_updated": "2024-03-14",
"certification_date": "2024-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "CA",
"license": "20A11058",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Arcadia, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.