Alfredo Manuel Portillo, AG-ACNP - Medicare Nurse Practitioner in Apple Valley, CA

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Alfredo Manuel Portillo, AG-ACNP is a medicare enrolled "Nurse Practitioner - Acute Care" in Apple Valley, California. He graduated from nursing school in 2022 and has 4 years of diverse experience with area of expertise as Nurse Practitioner. He is a member of the group practice Desert Valley Medical Group Inc, Providence Medical Foundation and his current practice location is 18300 Ca-18, Apple Valley, California. You can reach out to his office (for appointments etc.) via phone at (760) 242-2311.

Alfredo Manuel Portillo is licensed to practice in California (license number 95026013) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1639852635.

Contact Information

Alfredo Manuel Portillo, AG-ACNP
18300 Ca-18,
Apple Valley, CA 92307
(760) 242-2311
Not Available

Map and Direction




Provider's Profile

Full NameAlfredo Manuel Portillo
GenderMale
SpecialityNurse Practitioner
Experience4 Years
Location18300 Ca-18, Apple Valley, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Alfredo Manuel Portillo graduated from nursing school in 2022
  NPI Data:
  • NPI Number: 1639852635
  • Provider Enumeration Date: 08/08/2023
  • Last Update Date: 08/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 4183087513
  • Enrollment ID: I20230831002966

Medical Identifiers

Medical identifiers for Alfredo Manuel Portillo such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1639852635NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
363LA2100XNurse Practitioner - Acute Care 95026013 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Desert Valley HospitalVictorville, CAHospital
Providence St Mary Medical CenterApple valley, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Desert Valley Medical Group Inc488059587578
Providence Medical Foundation89219932051461

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Alfredo Manuel Portillo allows following entities to bill medicare on his behalf.
Entity NameDesert Valley Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639117864
PECOS PAC ID: 4880595875
Enrollment ID: O20040113000803
Entity NameProvidence Medical Foundation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1871607762
PECOS PAC ID: 8921993205
Enrollment ID: O20040216001346

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Alfredo Manuel Portillo is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Alfredo Manuel Portillo, AG-ACNP
18310 Ca-18, Suite B,
Apple Valley, CA 92307

Ph: (760) 998-2312		Alfredo Manuel Portillo, AG-ACNP
18300 Ca-18,
Apple Valley, CA 92307

Ph: (760) 242-2311

Reviews and Comments


Nurse Practitioner Nurses in Apple Valley, CA

Alma Luna,
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Practice Location: 16143 Kokanee Rd Ste C, Apple Valley, CA 92307
Phone: 760-242-6442    
Brenda Ann Marin, NURSE PRACTITIONER
Nurse Practitioner
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Practice Location: 18031 Us Highway 18 Ste C, Apple Valley, CA 92307
Phone: 760-810-7631    
Ashly Patricia Cameron, NURSE PRACTITIONER
Nurse Practitioner
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Practice Location: 18523 Corwin Rd Ste H, Apple Valley, CA 92307
Phone: 760-261-8462    
Latora Subani,
Nurse Practitioner
Medicare: Medicare Enrolled
Practice Location: 16179 Siskiyou Rd, Apple Valley, CA 92307
Phone: 661-267-6876    
Jonathan Portillo, AGACNP-BC
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307
Phone: 760-242-2311    
Elizabeth Espinoza,
Nurse Practitioner
Medicare: Not Enrolled in Medicare
Practice Location: 18300 Us Highway 18, Apple Valley, CA 92307
Phone: 760-242-2311    
Mr. Jesus A Quinonez, NP
Nurse Practitioner
Medicare: Accepting Medicare Assignments
Practice Location: 18300 Ca-18, Apple Valley, CA 92307
Phone: 760-242-2311    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.