Active NPI
Jewels N Portillo
- Licensed Vocational Nurse
- Los Angeles, CA
National Provider Identifier
1982239216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Licensed Vocational Nurse
- License
- 289363
- Practice address
- 3455 Percy St
Los Angeles, CA 90023-1716 - Phone
- (323) 268-2100
- NPI assigned
- Mar 6, 2020
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Licensed Vocational Nurse | 164X00000X | 289363 | CA | Primary |
Addresses
Primary practice location
3455 Percy St
Los Angeles, CA 90023-1716
Mailing address
3455 Percy St
Los Angeles, CA 90023-1716
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jportillo@gateways.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 289363 | CA | MD | Licensed Vocational Nurse |
Interoperability endpoints
- jportillo@gateways.org
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1583452800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583452800000",
"number": "1982239216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3455 PERCY ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231716"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3455 PERCY ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900231716",
"telephone_number": "323-268-2100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PORTILLO",
"first_name": "JEWELS",
"middle_name": "N",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-03-06",
"last_updated": "2020-03-06",
"certification_date": "2020-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "164X00000X",
"taxonomy_group": "",
"desc": "Licensed Vocational Nurse",
"state": "CA",
"license": "289363",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jportillo@gateways.org",
"affiliation": "N",
"address_1": "3455 Percy St",
"city": "Los Angeles",
"state": "CA",
"country_code": "US",
"postal_code": "900231716",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.