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ELIZABETH DE LA PORTILLA DO
NPI 1497191225
Student in an Organized Health Care Education/Training Program in Colton, CA

Active since May 20, 2013PECOS EnrolledAccepts Medicare Assignment
400 N PEPPER AVE STE 204, COLTON, CA 92324(909) 580-6266 Get Directions Write a Review

NPPES record last updated: December 22, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Elizabeth De La Portilla Do NPPES

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

ELIZABETH DE LA PORTILLA DO (NPI 1497191225) is an individual student in an organized health care education/training program in Colton, California and active in the NPI registry since May 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1497191225
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH DE LA PORTILLACredential: DO
Location Address400 N PEPPER AVE STE 204Colton, CA 92324-1801
Mailing Address400 N Pepper Ave Ste 204Colton, CA 92324-1801 · (909) 580-6266
Phone(909) 580-6266
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMay 20, 2013
Last NPPES UpdateDecember 22, 2021
✔ NPI 1497191225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
400 N PEPPER AVE STE 204, Colton, CA 92324
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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 and accepts Medicare assignment

Elizabeth De La Portilla Do 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 ID6406137876
PECOS Enrollment IDI20161222000600
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 Elizabeth De La Portilla reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Permanente Medical Group Inc
345 mi
Internal Medicine
710 LAWRENCE EXPRESSWAY
Santa Clara, CA 95051
  • Reassigned Medicare billing, California enrollment
  • 20,078 clinicians in this Medicare group
NPI 1073606299 (408) 851-1000

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

Areas of Expertise CMS Part B claims

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
26 services13 patients

Other Providers at the Same Location NPPES

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

NEEKA SHAYAN
Internal Medicine
400 N PEPPER AVE STE 204
COLTON, CA 92324
San Bernardino County (909) 580-6266

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 Elizabeth De La Portilla's NPI number?

The NPI number for Elizabeth De La Portilla is 1497191225. It was assigned to this individual provider in the NPPES registry on May 20, 2013.

Where is Elizabeth De La Portilla located?

Elizabeth De La Portilla practices at 400 N Pepper Ave Ste 204, Colton, CA 92324. The listed phone number is (909) 580-6266.

What is Elizabeth De La Portilla's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elizabeth De La Portilla enrolled in Medicare?

Yes. Elizabeth De La Portilla 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 Elizabeth De La Portilla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Elizabeth De La Portilla reassigns Medicare benefits to Permanente Medical Group Inc (Santa Clara, 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 Elizabeth De La Portilla'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 Elizabeth De La Portilla was last updated on December 22, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.