DR. JESSICA PORTILLO MD
NPI 1639581630
Family Medicine in Santa Ana, CA

Q: What is Jessica Portillo's NPI number?

The NPI number for Jessica Portillo is 1639581630. It was assigned to this individual provider in the NPPES registry on May 24, 2014.

Q: What is Jessica Portillo's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Jessica Portillo was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.

Active since May 24, 2014PECOS Enrolled

1206 E 17TH ST STE 101, SANTA ANA, CA 92701(714) 352-2911(714) 352-2903 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Aug 19, 2026, May 13, 2026, Jul 21, 2022 and 2 more (5 updates tracked since 2017).

On this page

About Dr. Jessica Portillo Md NPPES

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

DR. JESSICA PORTILLO MD (NPI 1639581630) is an individual family medicine provider in Santa Ana, California, licensed in California (C175357) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1639581630

Entity TypeIndividualFemale

Primary Taxonomy207Q00000X

Provider Legal NameDR. JESSICA PORTILLOCredential: MD

Location Address1206 E 17TH ST STE 101Santa Ana, CA 92701-2641

Mailing Address1206 E 17th St Ste 101Santa Ana, CA 92701-2641 · (714) 352-2911 · Fax (714) 352-2903

Phone(714) 352-2911

Fax(714) 352-2903

Sole ProprietorNo

Enumeration DateMay 24, 2014

Last NPPES UpdateAugust 19, 20265 updates tracked since enumeration

NPPES CertifiedAugust 19, 2026

✔ NPI 1639581630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in CA · C175357

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

1206 E 17TH ST STE 101, Santa Ana, CA 92701

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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 (PECOS)

Dr. Jessica Portillo Md 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 Reassignment

Medicare enrollment records show Jessica Portillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Serve The People, Inc

Same address

Federally Qualified Health Center (FQHC)

1206 E 17TH STREET, SUITE 101
Santa Ana, CA 92701

Reassigned Medicare billing, California enrollment
19 clinicians in this Medicare group

NPI 1770803462 (714) 352-2911

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 92701 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.

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.

MRS. JUDY RAMIREZ-CAMPUZANO LCSW

Social Worker (Clinical)