Robert L. Portillo, D.P.M., Inc

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

E1381 Issued in CA

Legal business name

ROBERT L. PORTILLO, D.P.M., INC

Practice address

1304 15TH St
Suite 218
Santa Monica, CA 90404-1809

Phone

(310) 319-0029

Fax

(310) 458-2516

NPI assigned

Feb 1, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Annie Kakehashi

Title

Office Manager

Phone

(310) 319-0029

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Ashkan Jalili, D.C.

  • Chiropractor
  • Santa Monica, CA
  • NPI 1124017264
  NPD (past)

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

{
    "created_epoch": "1201824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201824000000",
    "number": "1942488879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "SUITE 218",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-319-0029",
            "fax_number": "310-458-2516"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1304 15TH ST",
            "address_2": "SUITE 218",
            "city": "SANTA MONICA",
            "state": "CA",
            "postal_code": "904041809",
            "telephone_number": "310-319-0029",
            "fax_number": "310-458-2516"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT L. PORTILLO, D.P.M., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-01",
        "last_updated": "2008-02-01",
        "status": "A",
        "authorized_official_last_name": "KAKEHASHI",
        "authorized_official_first_name": "ANNIE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "310-319-0029",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CA",
            "license": "E1381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Juan Rivera
• RM Medical Sales LLC
• Taylor Rose Robben, NP-BC
• Robert Amonic, M.D., Inc.
• Robert E. Klenck M.D. Inc.
• Robert Wagmeister M D a Medical Corporation
• Jenna Roberts, MD
• Monise Agnes Ruby Roberts
• Stacy Roberts, MSW
• Dominique L Robertson, MFT PSYD

• Foot & Ankle Surgery Podiatrist in Santa Monica, CA
• Providers in Santa Monica, CA by specialty
• Foot & Ankle Surgery Podiatrist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.