Individual provider Active NPI

Donald J Portocarrero, D.O.

  • Gastroenterology Physician
  • Arcadia, CA
National Provider Identifier
1841503570
Registry record updated Mar 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
20A11058 Issued in CA
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

Updated by the provider on Mar 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140416001904 CA Practitioner - Internal MedicinePractitioner - Gastroenterology 6305078726 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Gastroenterology
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 Hospital, Arcadia, CA, CCN 050238
  • Adventist Health White Memorial Hospital, Los Angeles, CA, CCN 050103

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux273

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A11058CAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arcadia Live Oak Surgery Center Inc Current Accepting new patients
Donald J Portocarrero D O Inc Gastroenterology CurrentSince Dec 1, 2020 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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.