DR. MICHAEL RICHARD PORTILLO (NPI# 1306235957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306235957 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RICHARD PORTILLO |
| Credential | M.D. |
| Practice Address |
680 Guzzi Ln Ste 106 Sonora CA 95370-5288 |
| Mailing Address |
Po Box 655 Twain Harte CA 95383-0655 |
| Practice Telephone | 2095365770 |
| Practice Fax Number | 2095363596 |
| Mailing Telephone | 2092062266 |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2017-12-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | A144432 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 374 W Olive Ave, Suite A, Merced, CA 953483181 | 2093845766 | 2093834230 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326207093 | Michael Scott Portillo | Radiology | 300 Pinellas St, Clearwater, FL 33756-3804 | 2008-06-06 |
| 1457418873 | Michael Portillo | Counselor | 1861 Silverwood Dr, Concord, CA 94519-1352 | 2007-01-03 |
| Street Address |
680 GUZZI LN STE 106 |
| City | SONORA |
| State | CA |
| Zip Code | 95370-5288 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174056089 | Chris Neves | Case Management | 427 N Highway 49, Suite 305, Sonora, CA 95370 | 2017-04-07 |
| 1528433885 | Michael French Dds Dental Corporation | General Acute Care Hospital | 800 Morningstar Dr, Sonora, CA 95370 | 2015-12-11 |
| 1942681465 | Amanda Evans | Registered Nurse | 20111 Cedar Rd North, Sonor, CA 95370 | 2015-06-10 |
| 1043625916 | Cicely Chen | Obstetrics & Gynecology | 900 Greenley Rd, Suite 922 Adventist Health (sierra Ob/, Sonora, CA 95370 | 2014-06-30 |
| 1457781692 | Donnie E Campbell | Homeopath | 63 South Stewart St, Sonora, CA 95370 | 2013-11-26 |
| 1386078186 | Jo Ann M Rascon | Marriage & Family Therapist | 38 N Washington St, Suite F, Sonora, CA 95370 | 2013-08-28 |
| 1831449735 | Sami Rhodes | Case Manager/Care Coordinator | 427 N. Highway 49, Sonora, CA 95370 | 2012-09-18 |
| 1619225273 | Melissa Parrish | Registered Nurse | 20111 Cedar Rd. North, Sonora, CA 95370 | 2012-08-29 |
| 1295033504 | Magdalena Martinez Bauman | Marriage & Family Therapist | 175 Fairview Ln., Sonora, CA 95370 | 2011-03-10 |
| 1588804215 | Holly Gwendolyn Harris | Physical Therapist | 15274 Camino Del Parque Rd. S, Sonora, CA 95370 | 2009-02-20 |
| Find all providers in zip 95370 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114535911 | Lea Anne Bunch | Family Medicine | 12080 S Dixie Hwy, Sonora, KY 42776-9739 | 2020-07-17 |
| 1790132256 | Ryan Carey | Family Medicine | 900 Mono Way, Sonora, CA 95370-5229 | 2016-05-15 |
| 1952749608 | Donald Charles Waldman | Family Medicine | 22644 Sawmill Flat Rd, Sonora, CA 95370-8509 | 2013-06-04 |
| 1801043799 | Ralph Edward Retherford | Family Medicine | 20405 Lyons Bald Mtn Rd, Sonora, CA 95370-8780 | 2008-08-21 |
| 1124286885 | Tuolumne Me-wuk Indian Health Center, Inc. | Family Medicine | 19969 Greenley Rd, Suite B,c, & D, Sonora, CA 95370-5908 | 2008-05-29 |
| 1932318227 | Lori Beth Sostock | Family Medicine | 820 Delnero Dr, Suite B, Sonora, CA 95370-6208 | 2007-05-22 |
| 1952319816 | Ralph E Retherford Md Inc | Family Medicine | 16050 Via Este Rd, Sonora, CA 95370-8428 | 2006-08-04 |
| 1629097399 | Timothy D Hooper | Family Medicine | 13951 Mono Way, Ste A, Sonora, CA 95370-4856 | 2006-07-19 |
| 1851328298 | Steven A Smith | Family Medicine | 20044 Cedar Rd N, Mother Lode Medical Clinic, Sonora, CA 95370-5900 | 2006-06-28 |
| 1184665952 | Charles Ray Pajestka | Family Medicine | 301a Hudspeth Avenue, Sonora, TX 76950 | 2006-06-10 |
| Find all providers in SONORA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.