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DR. LUIS A. PORTAL-QUEIROLO PSY.D.
NPI 1629169354
Psychologist - Clinical in Newport Beach, CA

Active since September 27, 2006PECOS Enrolled
3990 WESTERLY PL, SUITE 160, NEWPORT BEACH, CA 92660(714) 488-9869(949) 955-1216 Get Directions Write a Review

NPPES record last updated: October 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Luis A. Portal-queirolo Psy.d. NPPES

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

DR. LUIS A. PORTAL-QUEIROLO PSY.D. (NPI 1629169354) is an individual clinical provider in Newport Beach, California, licensed in California (PSY19146) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1629169354
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. LUIS A. PORTAL-QUEIROLOCredential: PSY.D.
Location Address3990 WESTERLY PL, SUITE 160Newport Beach, CA 92660-2310
Mailing Address3990 Westerly Pl Ste 160Newport Beach, CA 92660-2345 · (714) 488-9869 · Fax (949) 955-1216
Phone(714) 488-9869
Fax(949) 955-1216
Sole ProprietorYes
Enumeration DateSeptember 27, 2006
Last NPPES UpdateOctober 25, 2012
✔ NPI 1629169354 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License✔ Licensed in CA · PSY19146
Definition
A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.
3990 WESTERLY PL, Newport Beach, CA 92660
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Luis A. Portal-queirolo Psy.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92660 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
$187.60 typical visit price
range $62.96 – $187.60
Typical copayment $46.90 (range $15.74 – $46.90)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 3

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

DR. SUZANNE CHERYL WILSON PSYD
Psychologist
3990 WESTERLY PL, SUITE 160
NEWPORT BEACH, CA 92660
Orange County (949) 922-4594
JASON PON M.S.
Marriage & Family Therapist
3990 WESTERLY PL, SUITE 160
NEWPORT BEACH, CA 92660
Orange County (949) 415-6895
DR. MELIA WALLIN PSY.D.
Psychologist (Clinical)
3990 WESTERLY PL, SUITE 185
NEWPORT BEACH, CA 92660
Orange County (949) 412-2082

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 Luis Portal-queirolo's NPI number?

The NPI number for Luis Portal-queirolo is 1629169354. It was assigned to this individual provider in the NPPES registry on September 27, 2006.

Where is Luis Portal-queirolo located?

Luis Portal-queirolo practices at 3990 Westerly Pl Suite 160, Newport Beach, CA 92660. The listed phone number is (714) 488-9869.

What is Luis Portal-queirolo's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Luis Portal-queirolo enrolled in Medicare?

Yes. Luis Portal-queirolo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Luis Portal-queirolo was last updated on October 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.