MRS. PORTIA ANN KEOUGH FNP
NPI 1255839791
Nurse Practitioner - Family in Torrance, CA
About Mrs. Portia Ann Keough Fnp NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MRS. PORTIA ANN KEOUGH FNP (NPI 1255839791) is an individual family provider in Torrance, California, licensed in California (95005554) and active in the NPI registry since January 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Mrs. Portia Ann Keough Fnp 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.
Medicare Billing Reassignment
Medicare enrollment records show Portia Keough reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Harbor City, CA 90710
- Reassigned Medicare billing, California enrollment
- 13,921 clinicians in this Medicare group
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 90505 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
TORRANCE, CA 90505
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 Portia Keough's NPI number?
The NPI number for Portia Keough is 1255839791. It was assigned to this individual provider in the NPPES registry on January 30, 2018.
Where is Portia Keough located?
Portia Keough practices at 23600 Telo Ave, Torrance, CA 90505. The listed phone number is (310) 325-2084.
What is Portia Keough's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.
Is Portia Keough enrolled in Medicare?
Yes. Portia Keough 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.
Which organization bills Medicare for Portia Keough's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Portia Keough reassigns Medicare benefits to Southern California Permanente Medical Group (Harbor City, 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 Portia Keough'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 Portia Keough was last updated on October 23, 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.
# Mrs. Portia Ann Keough, FNP · NPI 1255839791
Family physician in Torrance, California. Individual provider, active in the CMS NPPES registry since January 30, 2018.
## Identity
- **NPI:** 1255839791 (Entity type: Individual)
- **Enumerated:** January 30, 2018
- **Primary specialty:** Nurse Practitioner - Family · taxonomy 363LF0000X
- **State license:** 95005554 (California)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 23600 TELO AVE, Torrance, CA 90505-4035
- **Phone:** (310) 325-2084
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Southern California Permanente Medical Group (NPI 1598797011, Harbor City, CA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2016
## Record status
- **NPPES last updated:** October 23, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1255839791) · Data from the CMS NPPES public registry.