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PEDRO PORTES ACNP
NPI 1316375744
Nurse Practitioner in Orange, CA

Active since October 22, 2013PECOS Enrolled
100/100
CMS Quality Rating
101 THE CITY DR S BLDG 25, ORANGE, CA 92868(714) 456-6699 Get Directions Write a Review

NPPES record last updated: January 22, 2024. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jun 6, 2023, Nov 16, 2018, Mar 17, 2018 and 2 more (5 updates tracked since 2017).

About Pedro Portes Acnp NPPES

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

PEDRO PORTES ACNP (NPI 1316375744) is an individual nurse practitioner in Orange, California, licensed in California (23628) and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS and maintains a secondary practice location in Sacramento.

NPPES Registry Identity

NPI1316375744
Entity TypeIndividualMale
Primary Taxonomy363L00000X
Provider Legal NamePEDRO PORTESCredential: ACNP
Location Address101 THE CITY DR S BLDG 25Orange, CA 92868-3201
Mailing Address200 S Manchester Ave Ste 300Orange, CA 92868-3219 · (714) 456-2986
Phone(714) 456-6699
Sole ProprietorNo
Enumeration DateOctober 22, 2013
Last NPPES UpdateJanuary 22, 20245 updates tracked since enumeration
NPPES CertifiedJanuary 22, 2024
✔ NPI 1316375744 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License✔ Licensed in CA · 23628
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedNurse Practitioner · Acute CareTaxonomy 363LA2100X · License 23628 (CA)
101 THE CITY DR S BLDG 25, Orange, CA 92868
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Secondary Practice Location 1

Location 12315 Stockton BlvdSacramento, CA 95817-2201 · Phone (916) 734-5513 · Fax (916) 734-5378

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro Portes Acnp 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 Reassignments

3

Medicare enrollment records show Pedro Portes reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Uc Regents
Same address
Allergy & Immunology
101 THE CITY DR S
Orange, CA 92868
  • Reassigned Medicare billing, California enrollment
  • 525 clinicians in this Medicare group
NPI 1003864174 (714) 456-8068
Hospitalist Medicine Physicians Of California, Inc
63 mi
Internal Medicine
18300 US HIGHWAY 18
Apple Valley, CA 92307
  • Reassigned Medicare billing, California enrollment
  • 914 clinicians in this Medicare group
NPI 1184663965 (760) 946-4233
Regents Of The Univ Of Ca
384 mi
Clinical Child & Adolescent
2825 50TH ST
Sacramento, CA 95817
  • Reassigned Medicare billing, California enrollment
  • 2,570 clinicians in this Medicare group
NPI 1447423959 (916) 703-0315

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 92868 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$109.96 typical visit price
range $20.84 – $153.61
Typical copayment $27.49 (range $5.21 – $38.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality82.4
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 6

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

MRS. IVY DINH HEALTH EDUCATOR
Health and Wellness Coach
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Orange County (714) 456-3739
MISS CRYSTAL MARIN
Health and Wellness Coach
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Orange County (949) 815-0853
MY PHUONG THI PHAN NP
Nurse Practitioner (Family)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Orange County (714) 719-1136
KATHERINE LEIGH WOOD MD
Thoracic Surgery (Cardiothoracic Vascular Surgery)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Orange County (714) 456-3634
DR. BEHRAM PARVEZ MODY MD
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Orange County (714) 456-6699
DR. K.A. MANISHA PERERA
Internal Medicine (Geriatric Medicine)
101 THE CITY DR S BLDG 25
ORANGE, CA 92868
Orange County (714) 456-7007

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 Pedro Portes's NPI number?

The NPI number for Pedro Portes is 1316375744. It was assigned to this individual provider in the NPPES registry on October 22, 2013.

Where is Pedro Portes located?

Pedro Portes practices at 101 The City Dr S Bldg 25, Orange, CA 92868. The listed phone number is (714) 456-6699.

What is Pedro Portes's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Pedro Portes enrolled in Medicare?

Yes. Pedro Portes is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Pedro Portes's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Portes reassigns Medicare benefits to 3 organizations: Uc Regents (Orange, CA), Hospitalist Medicine Physicians Of California, Inc (Apple Valley, CA) and Regents Of The Univ Of Ca (Sacramento, CA). Each 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 Pedro Portes'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 Pedro Portes was last updated on January 22, 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.