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JOHN PORTEOUS MD NPI 1669460630


NPI Information

NPI: 1669460630
Provider Name: JOHN PORTEOUS, MD
Classification: Surgery - 208600000X
Entity Type: Individual
Address:
1541 FLORIDA AVE
SUITE 200
MODESTO, CA
ZIP 95350
Phone: (209) 577-3388
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John Porteous, MD is a surgery in Modesto, CA. The provider is a general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. John Porteous, MD NPI is 1669460630. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1541 FLORIDA AVE
SUITE 200
MODESTO, CA
ZIP 95350-429
Phone: (209) 577-3388
Fax: (209) 523-0764

The enumeration date for this NPI number is 10/12/2005 and was last updated on 3/29/2011.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12086S0127XSurgeryTrauma SurgeryC2981CALIFORNIANo
22086S0129XSurgeryVascular SurgeryC2981CALIFORNIANo
3208G00000XThoracic Surgery (Cardiothoracic Vascular Surgery)C2981CALIFORNIANo
4208600000XSurgeryC2981CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1CF369ZOTHERCALIFORNIAMEDICARE INDIVIDUAL PTAN
2A34042MEDICARE UPINCALIFORNIA
3020013716OTHERCALIFORNIARAILROAD MEDICARE
4ZZZ48224ZOTHERCALIFORNIAMEDICARE IDENTIFICATION #
5ZZZ48224ZMEDICARE PINCALIFORNIA
6CD069AOTHERCALIFORNIAMEDICARE GROUP PTAN

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: 4/28/2024

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