Portola Medical Services PC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

Legal business name

PORTOLA MEDICAL SERVICES PC

Doing business as

Clineva Urgent Care
Clineva Urgent Care Centers

Practice address

29100 Portola Pkwy
Suite B
Lake Forest, CA 92630-8712

Phone

(844) 254-6382

Fax

(331) 442-4902

NPI assigned

Sep 17, 2015

Last updated

Apr 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Matthew A Zeller, DONPI 1700970332

Title

Ceo

Phone

(949) 813-9728

Specialties & licenses 1

Addresses

Other names 2

• Clineva Urgent Care Doing business as
• Clineva Urgent Care Centers Doing business as

Medicare fee-for-service enrollment

Enrolled in CA2 enrollments

Enrollment records 2

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 41

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Matthew A Zeller, D.O.

  • Family Medicine Physician
  • Mission Viejo, CA
  • NPI 1700970332
  Medicare reassignment Care Compare group NPD Authorized official
• David R Bloom, M.D.

  • Sports Medicine (Family Medicine) Physician
  • Huntington Beach, CA
  • NPI 1417005737
  Medicare reassignment Care Compare group NPD
• Bikash Devaraj, M.D.

  • Surgery Physician
  • Los Angeles, CA
  • NPI 1659531333
  Medicare reassignment Care Compare group NPD
• Melanie Mars, N.P.

  • Family Nurse Practitioner
  • Orange, CA
  • NPI 1023405537
  Medicare reassignment Care Compare group NPD
• Robyn Quinn, FNP-BC

  • Family Nurse Practitioner
  • Lake Forest, CA
  • NPI 1154101988
  Medicare reassignment Care Compare group NPD
• Tamer Rezk, MD

  • Addiction Medicine (Family Medicine) Physician
  • Whittier, CA
  • NPI 1457810285
  Medicare reassignment Care Compare group NPD
• Maria Guadalupe Rojo, FNP-C

  • Family Nurse Practitioner
  • Anaheim, CA
  • NPI 1710441001
  Medicare reassignment Care Compare group NPD
• Wei Zhang, MPAS

  • Physician Assistant
  • Anaheim, CA
  • NPI 1144084153

  Urgent Care

  Medicare reassignment Care Compare group NPD
• Stacy Renee Cohen-Barrera, PAC

  • Medical Physician Assistant
  • Laguna Woods, CA
  • NPI 1689615361
  Medicare reassignment Care Compare group
• Kirsten Hope Fick, P.A.

  • Physician Assistant
  • Garden Grove, CA
  • NPI 1184828659
  Medicare reassignment Care Compare group
• Arturo Gonzalez Jr., PA-C

  • Physician Assistant
  • Orange, CA
  • NPI 1801499231
  Medicare reassignment Care Compare group
• Tori Gorman

  • Physician Assistant
  • Placentia, CA
  • NPI 1730943119
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1442448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744848000000",
    "number": "1871962076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29100 PORTOLA PKWY",
            "address_2": "SUITE B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308712",
            "telephone_number": "844-254-6382",
            "fax_number": "949-535-1109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "29100 PORTOLA PKWY",
            "address_2": "SUITE B",
            "city": "LAKE FOREST",
            "state": "CA",
            "postal_code": "926308712",
            "telephone_number": "844-254-6382",
            "fax_number": "331-442-4902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PORTOLA MEDICAL SERVICES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-17",
        "last_updated": "2025-04-17",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "ZELLER",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-813-9728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Clineva Urgent Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Clineva Urgent Care Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maeralyn Pogoso
• Oana-Diana Popescu, PA
• Aaron Porter
• Gina-Marie Cimmarrusti Porter, MFTI, AT
• Portola Anesthesia Services LLC
• Gilbert M Portugal, D.C.
• Megan Elizabeth Poupard, LMFT
• Sam Pourbabak, MD
• Monica Marie Powers, PSYD
• Kevin M Pratt

• Urgent Care Clinic/Center in Lake Forest, CA
• Providers in Lake Forest, CA by specialty
• Urgent Care Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.