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Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

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

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: October 04, 2026.

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

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, and ordering and referring status from the CMS PECOS system.

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.

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.

DR. GARIMA SHUKLA DMD
Dentist (General Practice)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
MRS. JUDY RAMIREZ-CAMPUZANO LCSW
Social Worker (Clinical)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
DR. MAURICIO ALBERTO CARDENAS DDS
Dentist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
KATHY MAO O.D.
Optometrist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
KEVIN VALDEZ FNP
Nurse Practitioner (Family)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
MARCUS VINCENT OCHOA
Dentist
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
DR. NEAL EDWARD SCHWARTZ D.O.
Family Medicine (Adult Medicine)
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911
DR. ATHENA THERESA ALEXANDER M.D.
Internal Medicine
1206 E 17TH ST STE 101
SANTA ANA, CA 92701
Orange County (714) 352-2911

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 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.

Where is Jessica Portillo located?

Jessica Portillo practices at 1206 E 17th St Ste 101, Santa Ana, CA 92701. The listed phone number is (714) 352-2911.

What is Jessica Portillo's specialty?

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

Is Jessica Portillo enrolled in Medicare?

Yes. Jessica Portillo is registered in the Medicare PECOS enrollment system.

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 50 days 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.