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BRYAN STEVE PORTILLO
NPI 1720436660
Marriage & Family Therapist in Riverside, CA

Active since June 01, 2016PECOS Enrolled
1950 MARKET ST, RIVERSIDE, CA 92501(951) 530-5900(951) 530-5945 Get Directions Write a Review

NPPES record last updated: April 5, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Apr 5, 2023, May 7, 2019, Dec 3, 2018 (3 updates tracked since 2018).

About Bryan Steve Portillo NPPES

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

BRYAN STEVE PORTILLO (NPI 1720436660) is an individual marriage & family therapist in Riverside, California, licensed in California (LMFT137724) and active in the NPI registry since June 2016. He is enrolled in Medicare PECOS and is a graduate of Other (2018).

NPPES Registry Identity

NPI1720436660
Entity TypeIndividualMale
Primary Taxonomy106H00000X
Provider Legal NameBRYAN STEVE PORTILLO
Location Address1950 MARKET STRiverside, CA 92501-1720
Mailing Address1950 Market StRiverside, CA 92501-1720 · (951) 530-5900 · Fax (951) 530-5945
Phone(951) 530-5900
Fax(951) 530-5945
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJune 1, 2016
Last NPPES UpdateApril 5, 20233 updates tracked since enumeration
NPPES CertifiedApril 5, 2023
✔ NPI 1720436660 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyMarriage & Family TherapistBehavioral Health & Social Service Providers
Taxonomy Code106H00000X
Licenses✔ Licensed in CA · LMFT137724✔ Licensed in CA · 109273
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
1950 MARKET ST, Riverside, CA 92501
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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)

Bryan Steve Portillo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9133617608
PECOS Enrollment IDI20251024003347
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 Bryan Portillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Grow Healthcare Group PC
342 mi
Mental Health
99 S ALMADEN BLVD STE 600
San Jose, CA 95113
  • Reassigned Medicare billing, California enrollment
  • 3,139 clinicians in this Medicare group
NPI 1154994846 (408) 402-4385

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

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.

JOE ARRINGTON
Community Health Worker
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900
GLENDA LIZETH GARCIA
Rehabilitation Practitioner
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (909) 530-5900
JOHNNY CASTILLO GONZALES
Marriage & Family Therapist
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900
HUMMA AHMAD
Social Worker
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900
ANDREHI RAMIREZ
Case Manager/Care Coordinator
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900
SHAMEKA NICOLE NELSON
Case Manager/Care Coordinator
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900
ANDREA ROMERO
Rehabilitation Practitioner
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900
MONICA JIMENEZ
Marriage & Family Therapist
1950 MARKET ST
RIVERSIDE, CA 92501
Riverside County (951) 530-5900

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 Bryan Portillo's NPI number?

The NPI number for Bryan Portillo is 1720436660. It was assigned to this individual provider in the NPPES registry on June 1, 2016.

Where is Bryan Portillo located?

Bryan Portillo practices at 1950 Market St, Riverside, CA 92501. The listed phone number is (951) 530-5900.

What is Bryan Portillo's specialty?

The primary specialty registered for this NPI is Marriage & Family Therapist with taxonomy code 106H00000X.

Is Bryan Portillo enrolled in Medicare?

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

Which organization bills Medicare for Bryan Portillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bryan Portillo reassigns Medicare benefits to Grow Healthcare Group PC (San Jose, 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 Bryan Portillo'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 Bryan Portillo was last updated on April 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.