MISS JOSILU PORTELLA PHYSICIANS ASSISTANT NPI 1225046303

NPI Information

  • NPI: 1225046303
  • Provider Name: MISS JOSILU PORTELLA, PHYSICIANS ASSISTANT
  • Classification: Physician Assistant - 363AS0400X
  • Specialization: Surgical
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3620 JOSEPH SIEWICK DR
    SUITE 406
    FAIRFAX, VA
    ZIP 22033
  • Phone: (703) 359-8640

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NPI Details

MISS Josilu Portella, PHYSICIANS ASSISTANT is a surgical physician assistant in Fairfax, VA. MISS Josilu Portella, PHYSICIANS ASSISTANT NPI is 1225046303. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3620 JOSEPH SIEWICK DR
SUITE 406
FAIRFAX, VA
ZIP 22033-756
Phone: (703) 359-8640
Fax: (703) 591-6105

The NPI 1225046303 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/4/2006 and was last updated on 10/19/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363AS0400XPhysician AssistantSurgicalVIRGINIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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