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DR. THERESA PORTUGAL D.O.
NPI 1053790824
Psychiatry & Neurology - Psychiatry in West Covina, CA

Active since May 26, 2015PECOS Enrolled
1215 W WEST COVINA PKWY, WEST COVINA, CA 91790(626) 227-7001 Get Directions Write a Review

NPPES record last updated: November 11, 2020. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Nov 11, 2020, Sep 4, 2020 (2 updates tracked since 2020).

About Dr. Theresa Portugal D.o. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. THERESA PORTUGAL D.O. (NPI 1053790824) is an individual psychiatry provider in West Covina, California, licensed in California (20A15371) and active in the NPI registry since May 2015. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1053790824
Entity TypeIndividualFemale
Primary Taxonomy2084P0800X
Provider Legal NameDR. THERESA PORTUGALCredential: D.O.
Location Address1215 W WEST COVINA PKWYWest Covina, CA 91790-2946
Mailing Address1215 W West Covina PkwyWest Covina, CA 91790-2946
Phone(626) 227-7001
Sole ProprietorNo
Enumeration DateMay 26, 2015
Last NPPES UpdateNovember 11, 20202 updates tracked since enumeration
NPPES CertifiedNovember 11, 2020
✔ NPI 1053790824 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in CA · 20A15371
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedPsychiatry & Neurology · Addiction PsychiatryTaxonomy 2084P0802X · License 20A15371 (CA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1215 W WEST COVINA PKWY, West Covina, CA 91790
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Theresa Portugal D.o. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Theresa Portugal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Enki Health Services, Inc.
7.6 mi
Community/Behavioral Health
3208 ROSEMEAD BLVD, SUITE 100
El Monte, CA 91731
  • Reassigned Medicare billing, California enrollment
  • 71 clinicians in this Medicare group
NPI 1487786166 (626) 227-7001

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91790 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. HOLLY PUTT RDH
Dental Hygienist
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 962-8911
ALYSHA MCCUISTION
Social Worker (Clinical)
1215 W WEST COVINA PKWY, SUITE 200
WEST COVINA, CA 91790
Los Angeles County (626) 338-9200
CRISTINA ANGELICA DIAZ
Marriage & Family Therapist
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (616) 974-0770
ABIGAIL KHAI YUNG CHIN
Marriage & Family Therapist
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 974-0770
LIANN RENEE LLANOS
Marriage & Family Therapist
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 974-0770
ENKI HEALTH SERVICE, INC.
Community/Behavioral Health
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 974-0770
MR. ADAM GOMEZ III
Marriage & Family Therapist
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 974-0770
ELIZABETH ANNE TORRES
Rehabilitation Practitioner
1215 W WEST COVINA PKWY
WEST COVINA, CA 91790
Los Angeles County (626) 974-0770

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Theresa Portugal's NPI number?

The NPI number for Theresa Portugal is 1053790824. It was assigned to this individual provider in the NPPES registry on May 26, 2015.

Where is Theresa Portugal located?

Theresa Portugal practices at 1215 W West Covina Pkwy, West Covina, CA 91790. The listed phone number is (626) 227-7001.

What is Theresa Portugal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Theresa Portugal enrolled in Medicare?

Yes. Theresa Portugal is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Theresa Portugal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Theresa Portugal reassigns Medicare benefits to Enki Health Services, Inc. (El Monte, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Theresa Portugal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Theresa Portugal was last updated on November 11, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.