JASON PORTILLO M.D. NPI 1427329176

NPI Information

  • NPI: 1427329176
  • Provider Name: JASON PORTILLO, M.D.
  • Classification: Hospitalist - 208M00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 25825 VERMONT AVE
    HARBOR CITY, CA
    ZIP 90710
  • Phone: (310) 257-6413

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NPI Details

Jason Portillo, M.D. is a hospitalist in Harbor City, CA with 14 years of experience. The provider is hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. Jason Portillo, M.D. NPI is 1427329176. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF SOUTHERN CALIFORNIA KECK SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

25825 VERMONT AVE
HARBOR CITY, CA
ZIP 90710-518
Phone: (310) 257-6413
Fax: (310) 517-3094

The NPI 1427329176 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 1/25/2012 and was last updated on 11/4/2021.

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
1390200000XStudent in an Organized Health Care Education/Training ProgramNo
2208M00000XHospitalistA125714CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1114003OTHERCALIFORNIASID # 114003

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

NPI Synchronization or Removal

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