Active NPI
Alexander Porto, PA-C
- Physician Assistant
- Sacramento, CA
National Provider Identifier
1912307158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA51789
- Practice address
- 3701 J St Ste 201
Sacramento, CA 95816-5542 - Phone
- (855) 354-2242
- NPI assigned
- Aug 25, 2014
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA51789 | CA | Primary |
Addresses
Primary practice location
3701 J St Ste 201
Sacramento, CA 95816-5542
Mailing address
1860 Howe Ave Ste 440
Sacramento, CA 95825-1098
Phone (916) 569-8484
Other practice location 1
1111 Exposition Blvd Bldg 700
Sacramento, CA 95815-4314
Phone (916) 736-3399
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: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA51789 | CA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elica Health Centers | Physician Assistant | Current | Accepting new patients |
| Elica Health Centers | Current | Accepting new patients | |
| Mdstat Urgent Care, Inc | Past | Accepting new patients |
Locations
3701 J St
Ste 201
Sacramento, CA 95816
1860 Howe Ave
Ste 440
Sacramento, CA 95825
1750 Wright St
Ste 1
Sacramento, CA 95825
Interoperability endpoints
- aporto343208@direct.ochin.org
Organizations & group practices 4
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.
-
- Federally Qualified Health Center (FQHC)
- West Sacramento, CA
- NPI 1548425853
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1740660703
Physician Assistant
-
- Federally Qualified Health Center (FQHC)
- Sacramento, CA
- NPI 1760293351
-
- Urgent Care Clinic/Center
- Roseville, CA
- NPI 1407229107
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1408924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595289600000",
"number": "1912307158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1860 HOWE AVE STE 440",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958251098",
"telephone_number": "916-569-8484",
"fax_number": "916-736-3350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3701 J ST STE 201",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958165542",
"telephone_number": "855-354-2242"
}
],
"practiceLocations": [
{
"address_1": "1111 Exposition Blvd Bldg 700",
"address_purpose": "LOCATION",
"city": "Sacramento",
"state": "CA",
"postal_code": "958154314",
"country_code": "US",
"telephone_number": "916-736-3399",
"fax_number": "916-736-3350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PORTO",
"first_name": "ALEXANDER",
"name_prefix": "Mr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-25",
"last_updated": "2020-07-21",
"certification_date": "2020-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CA",
"license": "PA51789",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sacramento, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.