| Dr Michael Richard Portillo, MD | |
|
680 Guzzi Ln Ste 106, Sonora, CA 95370-5288 | |
| (209) 536-5770 | |
| (209) 536-3596 |
| Full Name | Dr Michael Richard Portillo |
|---|---|
| Gender | Male |
| Speciality | Family Practice |
| Experience | 14 Years |
| Location | 680 Guzzi Ln Ste 106, Sonora, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306235957 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | A144432 (California) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Adventist Health Home Care Services | Sonora, CA | Home health agency |
| Hospice Of The Sierra | Sonora, CA | Hospice |
| Adventist Health Sonora | Sonora, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Sonora Community Hospital | 4284538505 | 127 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891732418 PECOS PAC ID: 4284538505 Enrollment ID: O20031119000910 |
| Entity Name | Sonora Community Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033100854 PECOS PAC ID: 4284538505 Enrollment ID: O20040316000829 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Michael Richard Portillo, MD Po Box 655, Twain Harte, CA 95383-0655 Ph: (209) 206-2266 | Dr Michael Richard Portillo, MD 680 Guzzi Ln Ste 106, Sonora, CA 95370-5288 Ph: (209) 536-5770 |
Dr. Zachary Scott Barlow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 193 Fairview Ln, Sonora, CA 95370 Phone: 209-536-5100 | |
Dr. Edward William Clinite, D.O. Family Medicine Medicare: Medicare Enrolled Practice Location: 680 Guzzi Ln, Suite 106, Sonora, CA 95370 Phone: 209-532-2792 | |
Jack Leroy Stclair, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 14540 Mono Way, Sonora, CA 95370 Phone: 209-743-7084 Fax: 209-928-5615 | |
Mathea S Salas, D.O. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 12791 Cabezut Rd, Sonora, CA 95370 Phone: 209-532-5524 Fax: 209-532-1513 | |
Mayline Michelle Nambela-barlow, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 900 Mono Way, Sonora, CA 95370 Phone: 209-536-6925 | |
Dr. Matthew Lincoln Personius, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 183 Fairview Ln, Suite A, Sonora, CA 95370 Phone: 209-532-4287 Fax: 209-532-4289 |