MS. MAYRA MARLENE PORTILLO (NPI# 1780296384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780296384 |
| Entity Type | Individual |
| Full Name | MS. MAYRA MARLENE PORTILLO |
| Credential | WHNP-BC |
| Practice Address |
3772 Tibbetts St Riverside CA 92506-2605 |
| Practice Telephone | 8887437526 |
| Mailing Telephone | 8887437526 |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LW0102X |
Nurse Practitioner Specialization: Women's Health |
95013841 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
3772 TIBBETTS ST |
| City | RIVERSIDE |
| State | CA |
| Zip Code | 92506-2605 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710982954 | Jennifer Estrada | Physician Assistant | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2005-06-15 |
| 1457961237 | Ashley Littlejohn | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2020-08-05 |
| 1427699628 | Katherine Rachel Wall | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2019-09-30 |
| 1326694910 | Caitlin Elizabeth Delski | Nurse Practitioner | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2019-08-10 |
| 1073097432 | Nicole Ashley Soriano | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2018-09-21 |
| 1790261634 | Brooke Ashley Rodriguez | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2018-07-13 |
| 1831680610 | Rose Ann Sabio Beltran | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2018-05-28 |
| 1033632294 | Vanessa Avila | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2017-07-19 |
| 1548780265 | Hannah Kim | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2017-06-23 |
| 1083073621 | Jennifer Kim Pascual | Registered Nurse | 3772 Tibbetts St, Riverside, CA 92506-2605 | 2016-02-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902405715 | Riverside Primary Care Clinic, Joanna Ayala Md | Clinic/Center | 3978 Merrill Ave, Riverside, CA 92506 | 2020-10-22 |
| 1336747005 | Beatriz Arredondo | Behavioral Analyst | 6117 Brockton Avenue Ste. 202, Riverside, CA 92506 | 2020-10-14 |
| 1740756782 | Priscilla Marie Rodriguez | Social Worker | 3742 Tibbets St Suite 201, Riverside, CA 92506 | 2018-10-17 |
| 1922593946 | Prevail Health Solutions, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 7450 Chateau Ridge Ln, Riverside, CA 92506 | 2018-06-22 |
| 1831691880 | Mckinley Children's Center | Community/Behavioral Health | 6700 Indiana Avenue, Suite 280, Riverside, CA 92506 | 2018-03-06 |
| 1720590946 | Leticia Dilworth | Behavioral Analyst | 3610 Central Ave Ste 46, Riverside, CA 92506 | 2017-10-27 |
| 1548771736 | Usa Biosciences LLC | Clinical Medical Laboratory | 5750 Division St Ste 109, Riverside, CA 92506 | 2017-10-16 |
| 1922542273 | Yazmar Sevilla-perez | Physical Therapist | 6852 Brockton Ave., Suite 212, Riverside, CA 92506 | 2016-12-06 |
| 1821547605 | Pathway To Healing, Marriage and Family Therapy, Inc. | Marriage & Family Therapist | 5790 Magnolia Ave., Ste 202, Rm F, Riverside, CA 92506 | 2016-09-22 |
| 1952857542 | Kramer and Nguyen Dental Corporation | Dentist | 3602 Riverside Plaza Dr, Ste 101, Riverside, CA 92506 | 2016-09-01 |
| Find all providers in zip 92506 | ||||
| Taxonomy Code | 363LW0102X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Women's Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659589489 | Christine Joy Phongdara | Nurse Practitioner | 4990 Arlington Ave Ste D, Riverside, CA 92504-2757 | 2007-05-17 |
| 1982996898 | Ming-chuan Chang | Nurse Practitioner | 3838 Sherman Dr, Sutie 10, Riverside, CA 92503-4001 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578162806 | Joan Elizabeth Kailany | Nurse Practitioner | 3344 Bartlett Ave, Rosemead, CA 91770-2773 | 2020-10-19 |
| 1447864541 | Lauren Sanchez | Nurse Practitioner | 145 Mission Ranch Blvd Ste 115, Chico, CA 95926-2296 | 2020-09-04 |
| 1417569526 | Katherine Jeanne Stafford | Nurse Practitioner | 34952 Gail Ave, Yucaipa, CA 92399-2830 | 2020-08-19 |
| 1497376875 | Monica Kistler | Nurse Practitioner | 65 N Hockett St, Porterville, CA 93257 | 2020-04-27 |
| 1942832894 | Bryonna Mathews | Nurse Practitioner | 362 Euclid Ave Apt 304, Oakland, CA 94610-3217 | 2020-02-09 |
| 1881224533 | Brittany Justine Ayala-patlan | Nurse Practitioner | 4034 S Carneros Ave, Ontario, CA 91761-3821 | 2020-01-22 |
| 1013547090 | Erin Elizabeth Murdock | Nurse Practitioner | 1986 Hummingbird Dr, Fairfield, CA 94534-6694 | 2020-01-18 |
| 1053950287 | Caitlin Rota | Nurse Practitioner | 432 S Pacific Coast Hwy, Redondo Beach, CA 90277-3735 | 2020-01-06 |
| 1578109302 | Ariel Rankin Mcdonald | Nurse Practitioner | 8920 Wilshire Blvd Ste 511, Beverly Hills, CA 90211-1949 | 2019-11-27 |
| 1093371478 | Fion Tai | Nurse Practitioner | 279 Tustin Field Dr, Tustin, CA 92782-6523 | 2019-05-12 |
| Find all providers with the same taxonomy | ||||
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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.