MR. VICTOR PORTILLO (NPI# 1881209880) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881209880 |
| Entity Type | Individual |
| Full Name | MR. VICTOR PORTILLO |
| Practice Address |
21724 Road 30 Madera CA 93638-8005 |
| Practice Telephone | 2096318435 |
| Mailing Telephone | 2096318435 |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2020-09-15 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 343900000X | Non-emergency Medical Transport (VAN) | Transportation Services |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053641142 | Victor H Portillo | Surgery | 2002 Holcombe Blvd, Houston, TX 77030-4211 | 2010-01-12 |
| Street Address |
21724 ROAD 30 |
| City | MADERA |
| State | CA |
| Zip Code | 93638-8005 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639644628 | Kevin Violette | Physician Assistant | 344 E Sixth Street, Madera, CA 93638 | 2018-10-05 |
| 1265939185 | Kimberly Lenise Bradley | Clinic/Center | 1159 Country Club Drive, Madera, CA 93638 | 2018-04-08 |
| 1255849584 | Cathy Castillo | Technician, Health Information | 2935113 1/2 Ave, Madera, CA 93638 | 2018-01-22 |
| 1164944195 | Xavier Pablo Garcia | Case Manager/Care Coordinator | 14241 Road, Madera, CA 93638 | 2017-07-12 |
| 1568982460 | Cruz Amelia Macias | Case Manager/Care Coordinator | 14241 Rd 28, Madera, CA 93638 | 2017-06-21 |
| 1144699588 | Joanna Arredondo | Counselor | 344 E. 6th St., Madera, CA 93638 | 2015-09-16 |
| 1144625997 | Pushkal Jadaun | Internal Medicine | 124 Sa Street, Madera, CA 93638 | 2014-10-22 |
| 1598022600 | Valarie Ann Shaffer | Counselor | 14227 Road 28, Madera, CA 93638 | 2012-04-13 |
| 1053555904 | Patricia Ann Alexander | Nurse Practitioner | 344 E. 4th St, Madera, CA 93638 | 2009-04-22 |
| 1629246913 | Lynn Doyle Cogdill | Technician, Other | 14427 Road 28, Madra, CA 93638 | 2008-02-20 |
| Find all providers in zip 93638 | ||||
| Taxonomy Code | 343900000X |
| Grouping | Transportation Services |
| Classification | Non-emergency Medical Transport (VAN) |
| A land vehicle with a capacity to meet special height, clearance, access, and seating, for the conveyance of persons in non-emergency situations. The vehicle may or may not be required to meet local county or state regulations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902452857 | Transportation Pablo Transit LLC | Non-emergency Medical Transport (VAN) | 28810 Posey Ave, Madera, CA 93638-5865 | 2019-08-15 |
| 1093945487 | Dalarcon Inc. | Non-emergency Medical Transport (VAN) | 950 E Almond Ave, Suite 101, Madera, CA 93637-5694 | 2009-07-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477154227 | Mark Cameron Head | Non-emergency Medical Transport (VAN) | 331 Sonora Drive, San Mateo, CA 94402 | 2020-11-06 |
| 1083214878 | M&m Medical Transportation LLC | Non-emergency Medical Transport (VAN) | 6084 E Inyo St, Fresno, CA 93727-6068 | 2020-10-29 |
| 1639779796 | Med United Inc | Non-emergency Medical Transport (VAN) | 12153 Via Serrano, El Cajon, CA 92019-5022 | 2020-10-28 |
| 1639779085 | Steemmy Transit LLC | Non-emergency Medical Transport (VAN) | 5179 Lone Tree Way Ste 534, Antioch, CA 94531-8689 | 2020-10-27 |
| 1275132730 | Robbie & Co Limited Liability Company | Non-emergency Medical Transport (VAN) | 4864 Charles Lewis Way, San Diego, CA 92102-4775 | 2020-10-25 |
| 1871192609 | Andre Barian | Non-emergency Medical Transport (VAN) | 4448 Eagle Rock Blvd Ste G, Los Angeles, CA 90041-3512 | 2020-10-22 |
| 1356940043 | Statewide Medical Services LLC | Non-emergency Medical Transport (VAN) | 38 W Sierra Madre Blvd Ste K, Sierra Madre, CA 91024-2488 | 2020-10-22 |
| 1598364424 | Good Health Medical Transport, LLC. | Non-emergency Medical Transport (VAN) | 1009 Highway A12, Montague, CA 96064-9037 | 2020-10-21 |
| 1326647496 | Dickersons Transportation LLC | Non-emergency Medical Transport (VAN) | 234 Baker St Ste 5, Bakersfield, CA 93305-5856 | 2020-10-20 |
| 1669071759 | Doha Murad | Non-emergency Medical Transport (VAN) | 4862 Garden Homes Pl, Elk Grove, CA 95758-9516 | 2020-10-20 |
| 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.