LUZ GUADALUPE PORTUGAL
NPI 1053989020
Counselor - Addiction (Substance Use Disorder) in San Diego, CA

Active since June 15, 2021
6145 IMPERIAL AVE, SAN DIEGO, CA 92114(619) 234-8888 Get Directions Write a Review

NPPES record last updated: March 14, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Mar 29, 2023, Mar 22, 2023, Jun 15, 2021 (3 updates tracked since 2021).

About Luz Guadalupe Portugal NPPES

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

LUZ GUADALUPE PORTUGAL (NPI 1053989020) is an individual addiction (substance use disorder) provider in San Diego, California and active in the NPI registry since June 2021.

NPPES Registry Identity

NPI1053989020
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLUZ GUADALUPE PORTUGAL
Location Address6145 IMPERIAL AVESan Diego, CA 92114-4213
Mailing Address6145 Imperial AveSan Diego, CA 92114-4213 · (619) 234-8888
Sole ProprietorNo
Enumeration DateJune 15, 2021
Last NPPES UpdateMarch 14, 20243 updates tracked since enumeration
NPPES CertifiedMarch 14, 2024
NPI 1053989020 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
Also ListedSpecialistTaxonomy 174400000X
6145 IMPERIAL AVE, San Diego, CA 92114

Other Identifiers 1

Medicaid378544CA

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.

Community/Behavioral Health
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Case Manager/Care Coordinator
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Addiction (Substance Use Disorder))
6145 IMPERIAL AVE
SAN DIEGO, CA 92114
Counselor (Professional)
6145 IMPERIAL AVE
SAN DIEGO, CA 92114

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 Luz Portugal's NPI number?

The NPI number for Luz Portugal is 1053989020. It was assigned to this individual provider in the NPPES registry on June 15, 2021.

Where is Luz Portugal located?

Luz Portugal practices at 6145 Imperial Ave, San Diego, CA 92114. The listed phone number is (619) 234-8888.

What is Luz Portugal's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Luz Portugal was last updated on March 14, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.