DR. TANIA PORTILLO MD
NPI 1124435896
Emergency Medicine in La Mesa, CA

Active since July 15, 2014PECOS EnrolledAccepts Medicare Assignment
5555 GROSSMONT CENTER DR, LA MESA, CA 91942(619) 740-6000 Get Directions Write a Review

NPPES record last updated: July 16, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 16, 2021, Jul 16, 2019 (2 updates tracked since 2019).

About Dr. Tania Portillo Md NPPES

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

DR. TANIA PORTILLO MD (NPI 1124435896) is an individual emergency medicine provider in La Mesa, California, licensed in California (A141013) and active in the NPI registry since July 2014. She is enrolled in Medicare PECOS, maintains a secondary practice location in San Diego, and is a graduate of Irvine California College Of Medicine (2013).

NPPES Registry Identity

NPI1124435896
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. TANIA PORTILLOCredential: MD
Location Address5555 GROSSMONT CENTER DRLa Mesa, CA 91942-3019
Mailing Address5555 Grossmont Center DrLa Mesa, CA 91942-3019
Sole ProprietorNo
Medical School CMSIrvine California College Of MedicineGraduated 2013
Enumeration DateJuly 15, 2014
Last NPPES UpdateJuly 16, 20212 updates tracked since enumeration
NPPES CertifiedJuly 16, 2021
NPI 1124435896 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in CA · A141013
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
5555 GROSSMONT CENTER DR, La Mesa, CA 91942

Secondary Practice Location 1

Location 14085 Governor DrSan Diego, CA 92122-2522 · Phone (949) 760-9222

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Tania Portillo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375833346
PECOS Enrollment IDI20160602002120
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.

Areas of Expertise CMS Part B claims 4

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
142 services139 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
93 services86 patients
Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
34 services34 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
31 services30 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 91942 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
$94.87 typical visit price
range $62.10 – $184.71
Typical copayment $23.71 (range $15.52 – $46.17)
Most-billed visit code 99203
Established Patient
$108.42 typical visit price
range $20.62 – $151.42
Typical copayment $27.10 (range $5.15 – $37.85)
Most-billed visit code 99214
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.

Registered Nurse
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Nurse Practitioner (Psychiatric/Mental Health)
5555 GROSSMONT CENTER DR, 5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Registered Nurse (Emergency)
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Internal Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Physician Assistant
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Emergency Medicine
5555 GROSSMONT CENTER DR
LA MESA, CA 91942
Pharmacist
5555 GROSSMONT CENTER DR
LA MESA, CA 91942

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 Tania Portillo's NPI number?

The NPI number for Tania Portillo is 1124435896. It was assigned to this individual provider in the NPPES registry on July 15, 2014.

Where is Tania Portillo located?

Tania Portillo practices at 5555 Grossmont Center Dr, La Mesa, CA 91942. The listed phone number is (619) 740-6000.

What is Tania Portillo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Tania Portillo enrolled in Medicare?

Yes. Tania Portillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Tania Portillo was last updated on July 16, 2021. 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.